Bike Rescue Project

Name of donor:
Collection Address:
Post Code:
Email address:
Telephone / Mobile No:	We will use this number to contact you to make an appointment to collection your bike(s).
Number of Bikes:	Use 0 if you only have bike parts to donate
Other Details:	Please record any other details of your donation, eg type, approx age, make, condition. We are interested in all types of bike, irrespective of age or condition.