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Request a Bike for your Client

Have a client who needs transportation? Fill out our form to request a free bike from HUBS! Depending on our current inventory, requests may take up to 2 weeks to fulfill.

Employee Information

Recipient Information

Gender of Recipient

Optional: Delivery Day

If you are a case manager and want HUBS to drop off the bike, let us know what day you will have the next meeting with your client. We cannot guarantee we can deliver the bike on this date.

Thanks for submitting! Someone will be in touch with you to coordinate the bicycle distribution.

 

HUBS Coop is a 501(c)(3) nonprofit organization - Federal EIN 85-1172072

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