Bicycle Donation Form Step 1 of 2 50% Name(Required) First Last Email(Required) Phone(Required)Select an OptionDonate Bicycle(s)Schedule ServiceMake a Donation Bicycle DonationPreferred Pick Up Date(Required) MM slash DD slash YYYY Preferred Pick Up Time(Required) Hours : Minutes AM PM AM/PM Consent By donating my bicycle to the Broken Bicycle Brigade LLC (aka BBB), I consent to transfer ownership, understand it may be refurbished and resold, release any liability, with no compensation received, and consent to be contacted by the BBB to confirm pick up, acknowledging that a different time may need to be scheduled.Schedule ServicePreferred Service Date(Required) MM slash DD slash YYYY Preferred Service Time(Required) Hours : Minutes AM PM AM/PM
