Partner Organization Application 2018 Application for bikes NAME OF ORGANIZATION*Name of Main Contact for Organization* First * Last Title/Role of Main Contact*Phone*Email* ADDRESS INFORMATION* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Website Mission Statement* Are you applying on behalf of a school or district?YesNoPlease estimate the number of bikes your organization might need:*Note that the amount of bicycles Free Bikes for Kidz can provide is dependent on our inventory and competing demands of our partner non-profits. This number is not guaranteed.Would you or your organization be interested in coordinating volunteers from your staff or your youth families at the Free Bikes for Kidz warehouse?Yes!No, thank you.
