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2. Contact Pony Express Bike Share
   Call or Text Us to report a bike issue (please include bike number and location of the bike) or for sponsorship information 816.866.0049 Find us on Facebook Pony Express Bike Share @Ponyexpressbikes
4. Reason for Contact
   -- Select One --ProblemComment or SuggestionBecome a sponsorRequest a bike
6. Type of Problem?

   1. Flat tire
   2. Damaged bike
   3. Bike needs picked up and return to rack
   4. No bikes at location
   5. other
8. Bike Number
10. Where is the bike located?
12. What location needs more bikes?
    -- Select One --CourthouseFelix Street squareMissouri WesternVisitor’s Bureau
14. Other?
18. Comment or Suggestion?
    Do you have a comment or suggestion on how we could improve the Pony Express Bike Share?
22. Company or individual

    1. Company
    2. Individual
24. Company Name
26. Contact Name
28. First Name
29. Last Name
31. Address1
33. Address2
35. City
36. State
37. Zip
41. May we contact you if we need more information?

    1. Yes
    2. No
43. First Name
44. Last Name
46. Address1
48. Address2
50. City
51. State
52. Zip
54. Email
55. Phone Number
59. Are you interested in getting a bike of your own?

    1. Yes
61. First Name
62. Last Name
64. Address1
66. Address2
68. City
69. State
70. Zip
72. Email
Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field