Register Your Stolen Bike: $10 – Single Stolen Bike Registration $25 – Up to 5 Stolen Bike Registrations - All Bikes Must Be Registered at the Same Time Registrant Information: E-Mail Address: Password (5-20 Characters): Re-Type Password: Bike(s) Specs: Bike #1 Bike Make: Please select OTHER Aegis Alpinestars Barracuda Basso Bianchi Bike Friday Bontrager Bottechia Breezer Bridgestone Burley Cannondale Casati Cervelo Cignal Ciocc Colnago Co-Motion Cycle Pro Cyclocross De Rosa Dean Diamond Back Dyno Easy Racer Eddy Merckx Gary Fisher Fuji Giant Giordana Gios Green Cycles GT Haro Hawk Huffy Ibis Iron Horse Jamis K2 Kestrel KHS Klein Kona LeMond Litespeed Marin Masi Merlin Mongoose Montague Moots Motiv Mountain Goat Murray Nashbar Nishiki Norco Novara Parkpre Performance Peugeot Pogliaghi Procycle ProFlex Raleigh Research Dynamics Ritchey Robinson Road Master Rocky Mountain Ross SE Racing Sampson Santana Schwinn Scorpio Scott Serotta Softride Specialized Supergo Terry Torelli Trek Univega Ventana Yokota If Bike Make is OTHER: Bike Model: Bike Type: Please select Mountain City Road BMX Hybrid Cross Kids Other If Bike Type is OTHER: Bike Colour: Please select OTHER Black Blue Brown Grey Green Orange Perl white / opal Purple Red Silver White Yellow Two colors Three colors Multi-color If Bike Colour is OTHER: Frame Size: Please select OTHER 14 inch 14.5 inch 15 inch 16 inch 16.5 inch 17 inch 17.5 inch 18 inch 19 inch = 49 cm 20 inch = 51 cm 21 inch = 54 cm 22 inch = 56 cm 23 inch = 58 cm 24 inch = 60 cm 25 inch = 63 cm If Bike Size is OTHER: Serial Number: Number of Gears: Bike #2 Bike Make: Please select OTHER Aegis Alpinestars Barracuda Basso Bianchi Bike Friday Bontrager Bottechia Breezer Bridgestone Burley Cannondale Casati Cignal Ciocc Colnago Co-Motion Cycle Pro Cyclocross De Rosa Dean Diamond Back Dyno Easy Racer Eddy Merckx Gary Fisher Fuji Giant Giordana Gios Green Cycles GT Haro Hawk Huffy Ibis Iron Horse Jamis K2 Kestrel KHS Klein Kona LeMond Litespeed Marin Masi Merlin Mongoose Montague Moots Motiv Mountain Goat Murray Nashbar Nishiki Norco Novara Parkpre Performance Peugeot Pogliaghi ProFlex Raleigh Research Dynamics Ritchey Robinson Road Master Ross SE Racing Sampson Santana Schwinn Scorpio Scott Serotta Softride Specialized Supergo Terry Torelli Trek Univega Ventana Yokota If Bike Make is OTHER: Bike Model: Bike Type: Please select Mountain City Road BMX Kids Other Bike Colour: Please select OTHER Black Blue Brown Grey Green Orange Perl white / opal Purple Red Silver White Yellow Two colors Three colors Multi-color If Bike Colour is OTHER: Frame Size: Please select OTHER 14 inch 14.5 inch 15 inch 16 inch 16.5 inch 17 inch 17.5 inch 18 inch 19 inch = 49 cm 20 inch = 51 cm 21 inch = 54 cm 22 inch = 56 cm 23 inch = 58 cm 24 inch = 60 cm 25 inch = 63 cm If Bike Size is OTHER: Serial Number: Number of Gears: Bike #3 Bike Make: Please select OTHER Aegis Alpinestars Barracuda Basso Bianchi Bike Friday Bontrager Bottechia Breezer Bridgestone Burley Cannondale Casati Cignal Ciocc Colnago Co-Motion Cycle Pro Cyclocross De Rosa Dean Diamond Back Dyno Easy Racer Eddy Merckx Gary Fisher Fuji Giant Giordana Gios Green Cycles GT Haro Hawk Huffy Ibis Iron Horse Jamis K2 Kestrel KHS Klein Kona LeMond Litespeed Marin Masi Merlin Mongoose Montague Moots Motiv Mountain Goat Murray Nashbar Nishiki Norco Novara Parkpre Performance Peugeot Pogliaghi ProFlex Raleigh Research Dynamics Ritchey Robinson Road Master Ross SE Racing Sampson Santana Schwinn Scorpio Scott Serotta Softride Specialized Supergo Terry Torelli Trek Univega Ventana Yokota If Bike Make is OTHER: Bike Model: Bike Type: Please select Mountain City Road BMX Kids Other Bike Colour: Please select OTHER Black Blue Brown Grey Green Orange Perl white / opal Purple Red Silver White Yellow Two colors Three colors Multi-color If Bike Colour is OTHER: Frame Size: Please select OTHER 14 inch 14.5 inch 15 inch 16 inch 16.5 inch 17 inch 17.5 inch 18 inch 19 inch = 49 cm 20 inch = 51 cm 21 inch = 54 cm 22 inch = 56 cm 23 inch = 58 cm 24 inch = 60 cm 25 inch = 63 cm If Bike Size is OTHER: Serial Number: Number of Gears: Bike #4 Bike Make: Please select OTHER Aegis Alpinestars Barracuda Basso Bianchi Bike Friday Bontrager Bottechia Breezer Bridgestone Burley Cannondale Casati Cignal Ciocc Colnago Co-Motion Cycle Pro Cyclocross De Rosa Dean Diamond Back Dyno Easy Racer Eddy Merckx Gary Fisher Fuji Giant Giordana Gios Green Cycles GT Haro Hawk Huffy Ibis Iron Horse Jamis K2 Kestrel KHS Klein Kona LeMond Litespeed Marin Masi Merlin Mongoose Montague Moots Motiv Mountain Goat Murray Nashbar Nishiki Norco Novara Parkpre Performance Peugeot Pogliaghi ProFlex Raleigh Research Dynamics Ritchey Robinson Road Master Ross SE Racing Sampson Santana Schwinn Scorpio Scott Serotta Softride Specialized Supergo Terry Torelli Trek Univega Ventana Yokota If Bike Make is OTHER: Bike Model: Bike Type: Please select Mountain City Road BMX Kids Other Bike Colour: Please select OTHER Black Blue Brown Grey Green Orange Perl white / opal Purple Red Silver White Yellow Two colors Three colors Multi-color If Bike Colour is OTHER: Frame Size: Please select OTHER 14 inch 14.5 inch 15 inch 16 inch 16.5 inch 17 inch 17.5 inch 18 inch 19 inch = 49 cm 20 inch = 51 cm 21 inch = 54 cm 22 inch = 56 cm 23 inch = 58 cm 24 inch = 60 cm 25 inch = 63 cm If Bike Size is OTHER: Serial Number: Number of Gears: Bike #5 Bike Make: Please select OTHER Aegis Alpinestars Barracuda Basso Bianchi Bike Friday Bontrager Bottechia Breezer Bridgestone Burley Cannondale Casati Cignal Ciocc Colnago Co-Motion Cycle Pro Cyclocross De Rosa Dean Diamond Back Dyno Easy Racer Eddy Merckx Gary Fisher Fuji Giant Giordana Gios Green Cycles GT Haro Hawk Huffy Ibis Iron Horse Jamis K2 Kestrel KHS Klein Kona LeMond Litespeed Marin Masi Merlin Mongoose Montague Moots Motiv Mountain Goat Murray Nashbar Nishiki Norco Novara Parkpre Performance Peugeot Pogliaghi ProFlex Raleigh Research Dynamics Ritchey Robinson Road Master Ross SE Racing Sampson Santana Schwinn Scorpio Scott Serotta Softride Specialized Supergo Terry Torelli Trek Univega Ventana Yokota If Bike Make is OTHER: Bike Model: Bike Type: Please select Mountain City Road BMX Kids Other Bike Colour: Please select OTHER Black Blue Brown Grey Green Orange Perl white / opal Purple Red Silver White Yellow Two colors Three colors Multi-color If Bike Colour is OTHER: Frame Size: Please select OTHER 14 inch 14.5 inch 15 inch 16 inch 16.5 inch 17 inch 17.5 inch 18 inch 19 inch = 49 cm 20 inch = 51 cm 21 inch = 54 cm 22 inch = 56 cm 23 inch = 58 cm 24 inch = 60 cm 25 inch = 63 cm If Bike Size is OTHER: Serial Number: Number of Gears: Police Report Information: My bike was stolen: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Police Report Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Police Report Number (required): Officer Name: Officer Badge Number: Police Department Address (required): Police Department Tel Number (required): I hereby state that I am the rightful owner of this bike(s). I accept the terms and conditions of this registration, acknowledging that the information I have provided may be used by various agencies for the sole purpose of finding, or returning my lost, or stolen bike(s). I would like to be notified of bike events, specials, and issues that BikeRegistryCanada.com participates in, or endorses.
8500 Leslie St., Suite 500 Thornhill, Ontario L3T 7M8 Tel: (905) 709-0928 Toll-Free Tel: 1-800-358-8164 Fax: (905) 709-0952
