Payment Center / Bicycle License Registration / Davenport, Iowa

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Bicycle License Registration

Step 1 of 1

Please complete the entire application for processing. Once payment is made, the license will be mailed to you.

* Denotes a required field

Name*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone 1*

Phone Area Code-Phone 3-Phone 4 ext Extension

Phone 2

Phone Area Code-Phone 3-Phone 4 ext Extension

Please Do Not Complete The Following Field

Email*

Confirm Email*

Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Bike Type*

Make*

Model*

Serial Number*

Size in inches*

Color*

Accessories

Permit Fee*

$5.00

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