London Form Submissions
West Midlands Form Submissions
London Collection Address
West Midlands Collection Address
I would like to apply for a bike...
For me and/or my family
On behalf of somebody else
Please select your Collection Region...
London
West Midlands
Other
Please select
their
Collection Region...
London
West Midlands
Other
If you are applying on behalf of somebody else, please select
their
Region
x
Please provide the information requested below...
once we have received this, you will be sent an application form (via SMS and Email) to apply for a bike.
Bike Applications can either be for an individual, or a family.
Please provide the information requested below...
- these details should relate to
YOU
, not the person who would like to receive a bike -
once we have received this, you will be sent an application form (via SMS and Email) to submit a Bike Application on their behalf.
Bike Applications can be made for an individual, or a family.
First Name
Last Name
Mobile ✆
Please enter a unique mobile phone number we can use to contact you about this bike application.
Email
Bike Collection Location
Bike Collection Location
Please confirm
that - if you are invited to attend a Bike Collection appointment - you will be able to travel to the location provided above
Yes, confirmed
Please confirm
that the person(s) you are applying for will be able to travel to collect a bike from the location provided above
Yes, confirmed
Please note
- it will not possible for you to collect a bike on their behalf.
Please confirm
that - if your application is successful - you will be able to store your bike where you live (we will provide
a lock
to help with this)
Yes, confirmed
Please confirm
that the person(s) you are applying for will be able to store their bike(s) where they live (we will provide
a lock
to help with this)
Yes, confirmed
Please confirm
that the person(s) you are applying for
is currently seeking asylum in the UK, or has
been granted refugee status (or a positive decision on their asylum claim) i
n the UK, within the last 2 years
Yes, confirmed
Please confirm
that you are c
urrently seeking asylum in the UK, or have
been granted refugee status (or a positive decision on your asylum claim) i
n the UK, within the last 2 years
Yes, confirmed
Unfortunately, we have 0 Bike Applications remaining.
We will release the next allocation on...
Please return to this page at the date and time shown above, when we will release a new batch.
These are allocated
first-come-first-served, and are claimed very quickly
.
We are not offering Bike Applications outside London and the West Midlands