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Upcycle Request
Connecting Social Services with Bicycles
At this time SABA's UPcycle program can only accept bike requests from social service organizations. If you are an individual, please contact your social worker or appropriate agency.
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* Indicates required question
Organization
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Your answer
Organization's misson
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Your answer
Organization's website
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Your answer
Your first name
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Your answer
Your last name
*
Your answer
Preferred Pronoun
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Your answer
Your relationship with the organization
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Staff
Volunteer
Executive Director
Client
Other:
Required
Your email
*
Your answer
Organization street address
Your answer
City
Your answer
State
Your answer
Zip code
Your answer
Phone number
Your answer
How many bikes do you need?
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Your answer
Total number of bikes requested
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Your answer
If possible, list the heights of the rider, gender, aproximate age and the style of bike requested
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Your answer
Any special requests or accommodations?
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Your answer
Unfortunately we are unable to, at this time, to transport the bikes. Will you be able to pick up the bike(s) at our downtown office.
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Yes
No
Contact me
Other:
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