Folding-Bike Public Outreach Survey

1.

20% of survey complete.

Please complete this survey and be eligible for a drawing to win a monthly transit pass!

Remember to enter the serial number from your printed survey below.

You must be 18 years old to complete this survey.

Official survey ends August 4, 2010.

Thank you!

Question Title

* 1. Serial number from printed survey (if you have one)

Question Title

* 2. Please complete the information below if you'd like to be entered into our drawing to win a monthly transit pass.

(Contact information is strictly confidential and required to notify drawing winner.)

Name:

Address:

Address 2:

City/Town:

ZIP:

Email Address:

Phone Number:

Question Title

* 1. Serial number from printed survey (if you have one)

Question Title

* 2. Please complete the information below if you'd like to be entered into our drawing to win a monthly transit pass. (Contact information is strictly confidential and required to notify drawing winner.)

* 2. Please complete the information below if you'd like to be entered into our drawing to win a monthly transit pass.

(Contact information is strictly confidential and required to notify drawing winner.)