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Bikes shipping from Sunnyside

This will be the name we will reference in the system.
We prefer a textable number.
Brand, model, color, etc.
Please list any removable accessories that will be shipped with the bike, including computers, bottles, or bags.
Name of the receiving party
Insurance runs approximately $15 per $1,000 in value.
To select or deselect multiple options, hold the "Ctrl" key when clicking.
Date (or range) your bike needs to ship from Sunnyside. THIS DATE NEEDS TO BE AT LEAST ONE WEEK FROM THE DAY YOU SEND THIS NOTICE.
Is there anything else we should know?