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LCC PUBLIC SAFETY BICYCLE REGISTRATION FORM

LCC Students, Staff, and Faculty:

LCC Public Safety has developed this Bicycle Registration Form. The purpose of this Form is to provide a record of your bicycle in case it is lost or stolen. This information will be maintained in a Public Safety database. If you complete a hard copy of this document, you will be issued a “label” in the Public Safety office, when you drop off the form. If you complete this from online, a label will be mailed to your home or campus address. The card will assist Public Safety officers in their efforts to recover your property, should it be stolen. Thank You!

Bicycle information: badge

Make:

Model:

Speeds:

Color:

Purchase year:

Serial number:

Description: (Special Features such as identifying marks etc.)

Contact information:

Name:

Campus Extension:
      
Off-Campus Phone Number:

E-mail Address:

 
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Lane Community College - Public Safety Department
4000 East 30th Avenue, Eugene, OR 97405
Building 13, Room 107 - Business Phone - (541) 463-5558

Emergency and After Hours Phone - (541) 463-5555
Please direct comments about this site to harrisjl@lanecc.edu
Revised
9/21/11 (jhg)
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2011 Site Archive