Swords Bike Library - Sign-Up Form

Swords Bike Library

Sign-Up Form
Borrow an e-bike and accessories free for 3 months and experience how cycling can fit into your daily routine. Whether you're commuting to work, doing the school run, or running errands, the Bike Library gives you a chance to try out a practical, low-cost alternative to car travel.

There’s no rental fee involved, just a fully refundable deposit which is returned to you at the end of the loan period.
Bike Number
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Eircode
Q1.) What is your current mode of transport? (Select all that apply)
Q1.) Other
Q2.)Have you cycled an ebike previously?
Q3.)What type of bicycle storage space do you have in your home?(Select all that apply)
Q3.) Other
Q4.)What type of bicycle storage space do you have in your workplace? (If applicable)
Q4.) Other
Q5.)How far do you live from your Community Centre
Q6.) Do you have any children?
Q7.) What type of bike would you prefer to borrow? (We cannot guarantee that you will receive your first preference, and the exact model may not match the pictures shown below.)
2nd Preference?
Should be Empty: