Novelis Bicycle Giveaway

Novelis Bicycle Giveaway (Age 2+)

Your Name(Required)

First Last

Your Phone #(Required)

Your Email(Required)

Relationship to Child (Parent, Grandparent, Extended Family, Neighbor, Other(Required)

Adult Contact for Child(Required)

Their Address(Required)

Street Address Address Line 2 City State / Province / Region

Their Phone #(Required)

Their Email Address(Required)

Child's Name You Are Nominating(Required)

Boy

Girl

Age

Grade (If Applicable)(Required)

Does the Child Already Have a Bicycle

Yes

Please elaborate on why you feel the child is deserving and/or in need of a bicycle for Christmas.

Applications/Nominations must be received no later than Monday, December 18.