CycleMAYnia Event Registration & Mini Grant Application

Event Coordinator

If your event is public, we will list the description in our calendar, along with contact name and email and/or phone number. If you have questions, please contact Peter Williamson at (805) 961-8918.

Question Title

* 1. Event name or idea

Question Title

* 2. Proposed Event Date/Time:

Proposed Start Time

Date

Time

AM/PM

Question Title

* 3. Where will this event take place?

Question Title

* 4. Select the most applicable event theme:

Advocacy

Education / Safety

Group Ride

Social Gathering

Bike from/to (Work, School, Church, etc.)

Pop-Up / Informal

Bike Here Discount / Freebie

Question Title

* 5. Contact

First Name: *

Last:

Organization affiliation (if applicable): *

Address:

Address 2: *

City/Town: *

ZIP: *

Email Address: *

Mobile Number: *