BICYCLE REGISTRATION

BICYCLE REGISTRATION

Bicycles can now be registered with the Belmont Police Department Online. Registration serves several important purposes. First, it allows the bicycle's owner to be easily identified, should the bike be recovered by this or any other department. In addition, it files important description information, such as serial numbers, with the Belmont Police, which makes the bike traceable should it be stolen or pawned, or the information needed for insurance purposes. Bicycle Registration is for Belmont Residents Only.

Town of Belmont

Traffic Bureau

Application For Registration of Bicycle

First Name:		(Required)
Middle Initial:		(Optional)
Last Name:		(Required)
Mailing Address:		(Required)
Address:		(Optional)
Mailing City:		(Required)
Mailing Zip Code		(Required)
Email Address:		(Required)
Date of Birth:	//	(Required)
Telephone:	- Home	(Required)
	- Work	(Optional)
Brand of Bicycle:		(Required)
Type		(Optional)
Model Number		(Required)
Serial Number		(Required)
Primary Color:		(Optional)
Secondary Color:		(Optional)
Other Identifying Marks:		(Optional)

I hereby make application for registration of the above bicycle in accordance with the provisions of Chapter 710, Acts of 1941. By typing my name within the box below, I hereby certify I am the legal owner of the above bicycle, and that the information provided is correct and accurate to the best of my knowledge.
Signature: (type name:)		(Required)