SustainableUMD Outreach Bike Request Form 
Thank you for your interest in the SustainableUMD Outreach Bike! To have the Outreach Bike and an Office of Sustainability representative at one of your events, please fill out the information below. An Office of Sustainability staff will follow up to discuss your event request and schedule a quick meeting. 

Please email any questions to sustainability@umd.edu. We look forward to collaborating!
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Requestor's Name  *
Requestor's Email Address  *
Requestor's Phone Number *
Which organization, office, department, etc. are you associated with?
Event Name  *
Event Location  *
Campus Building Name or Street Address
Event Date  *
MM
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DD
/
YYYY
What time would you like the bike at the event? *
Please include start and end times. 
Why would like to request the Outreach Bike be at this event? What do you hope the bike can add to your event? *
What is your general availability to meet with an Office of Sustainability staff member to learn more about the needs of the event?
Additional comments, questions, or concerns
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