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2. Bicycle Registration is Free

   We will mail a permit sticker to the mailing address provided.

4. First Name*
5. Last Name*
7. Nantucket Address*
9. Mailing Address*
11. City*
12. State*
13. Zip Code*
15. Phone #*
16. Email *
18. Bicycle Manufacturer *
19. Model Name*
20. Bicycle Frame Type
    -- Select One --MaleFemale
22. Descriptive Type
23. Color*
25. Bicycle Serial #
27. Other Descriptive markers

29.           4 Fairgrounds Rd                         508-325-4157                          permits@police.nantucket-ma.gov

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field