1. Please enter your contact information below.

3. What type of riding do you do? (Select all that apply.)

4. On average, how many hours per week do you currently ride?

5. Do you currently use a bicycle for transportation? If yes, explain how.

6. Have you participated in any BikeUCI events/programs?

7. In 250 words or less, tell us why you would be a great BikeUCI Ambassador. Information from this section may be used to highlight you as an Ambassador.

8. How would you inspire someone to start biking?

9. Please use the text box below to tell us anything else you'd like us to know about yourself.

11. Please upload a photo of you and your bike. The photo will be used in various marketing materials including websites, advertisements, flyers, etc. to promote BikeUCI Ambassadors.

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