Bicycle Intake Form Donation Details Date * Enter the date of the donation. MM DD YYYY Donation Location * Specify where the donation was received. (be)caffeinated Northshore (be)caffeinated Red Bank (be)caffeinated Rossville Chattanooga Lookouts East Ridge Bicycles Hamilton County Recycling Center: Red Bank Pedego Electric Bikes Owens Cyclery Red Bank Fire Department REI Chattanooga Signal Mountain Public Works Suck Creek Cycle Sweat Club Trek Chattanooga WOBC (Delivered to the shop) Other Other Location Enter the name of the location if not listed on the drop-down menu. Bicycle Count Review entries for accuracy Kids Bicycle Count Record the number of Kids Bicycles donated Adult Bicycle Count Record the number of Adult Bicycles donated Bicycle Condition: Kids Repairable: Kids Can be fixed and used again. Salvageable: Kids Can be taken apart for usable parts Non-useable: Kids Must be recycled due to poor condition. Bicycle Condition: Adult Repairable: Adult Can be fixed and used again. Salvageable: Adult Can be taken apart for usable parts Non-useable: Adult Must be recycled due to poor condition. Comments Comments Thank you!
