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Bicyclists
CITYRACKS Suggestion Form


*Required fields must be completed before submission.

 

Proposed Bicycle Rack Location:

Name of Business or Establishment or Transit Stop:

*Street Address:

*From (Cross Street):

*To (Cross Street):

*Borough:

*Zip Code:

Neighborhood:

Block # (if known):

Lot # (if known):

How did you hear about CityRacks?

Phone Number of Business or Establishment if known

Please be careful to provide accurate address and cross street information so the suggestion can be processed.

CITYRACKS Requester:

Your Name:

Your Address:

City:

State:

Zip Code:

Daytime Telephone Number:

Your Relation to Establishment:

Additional Information / Comments:

 
 

How did you hear of CITYRACKS?

 
 

*Email

 

To submit multiple information without having to fill out the entire form again, please follow these steps: After submitting the form for the first time, hit the back button and the information that you submitted will still be on the page. You can then make any necessary changes and hit the submit button again. Please note that if you reload the form or if you turn off your computer and return to the form at a later time, the old information will not reappear and you must fill out the form again.

 

Click here if you wish to obtain a voter registration form. Government services are not conditioned on being registered to vote. A voter registration form can also be obtained at http://nyc.gov/html/misc/html/register.html, or by calling (212) 868-3692.


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