JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
360 BIKE COLLECTION
Select one of the 3 Options below. Bikes must be returned no later than Saturday September 19th at which time a fee of $50 per day will be applied. If other arrangements are needed, please contact:
Sandy Dubon (205) 530-6185
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First & Last Name
*
Your answer
Cell number:
*
Your answer
PURCHASE & KEEP: $150
Buy It: Keep your loaner bike for $150. Select this option and a rep will get in touch with you.
AT HOME PICK-UP: Saturday September 19th 2:30PM - 5:30PM
I Purchased the delivery service already and will make my bike available for pickup at the above listed time.
I did not pre-purchase delivery but want to pay the $25 Collect Service fee I will make my bike available for pickup at the above listed times. (A rep will contact you for payment.)
DROP-OFF: By appointment only. (Please read special instructions below.)
Wednesday 9/16 12pm-7pm
Friday 9/18 12pm-6pm
Saturday 9/19 2:30pm-5:30pm
SPECIAL INSTRUCTIONS:
DROP-OFF: The Duncanville Fieldhouse 1700 S. Main St. Drop off location is behind the fieldhouse. Pull up to the two large bay doors.
AT-HOME COLLECTION: Driver will text you when he's on his way. Bikes may be placed outside your front door however you are liable for the bike until pick up. Driver will leave a pick-up receipt when he arrives.
PURCHASE & KEEP: Purchase in "as-is condition.
Questions may be directed to (205) 530-6185
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms