Oxford Township Police Department Bicycle Registration Form

Frame Serial #:     Type: Make: Model:

Year:     Brand Name:     Speeds:     Gender: Select Gender Boys/Mens Girls/Ladies     Frame Color:

Misc. Description (front or rear shocks/colored tires & rims/derailleur, etc.):

Owner's Information:

Last Name:     First Name:     Middle Initial:

Street Address:   Phone #:

Check here is you are submitting this to correct information already submitted.