Request a Bike Form – Sure Beats Walking.org is a Maine not for-profit corporation.

Your Name

First

Last

Your email

Your Organization

Your Phone Number

Riders Approximate Age

Riders Approximate Height ft/in

Riders approximate weight /lbs

client Your Riders

Riders Cycling Experience

Bicycle Preferences

Accessories requested (a rear view mirror and full reflectors are included on all bikes)

Anything else we should know to help fit the right bike? Medical needs, comfort concerns, mobility issues…?

Bicycle Delivery- Do you want this bike delivered? Does the client want an orientation, like how to shift gears?

Email