BronxWorks

Bike New York Registration

You will be asked to provide a credit card number in case you are unable to meet your fundraising minimum. This amount is set by Bike New York. We will provide you with fundraising tips to make fundraising fun and easy. In the case that you are not able to raise the minimum, we will charge the difference to your credit card. We will not make any charges without notifying you first. We also allow all riders to continue fundraising for an additional two weeks after the event. Still have questions? Contact Cathy Sharp at (646) 393-4007 or csharp@bronxworks.org.

After you have have filled out your personal information and click the "submit" button below, you will be taken to a screen where you can create your personal fundraising webpage.

First Name*

Last Name*

Email*

Street*

Street 2

City*

State/Province*

Zip/Postal Code*

Phone*

Organization

Credit card type

Name as it appears on credit card*

Credit card number*

3 or 4 digit credit card security code*

Expiration date*

I agree that in exchange for a place in the TD Five Boro Bike Tour, I will raise $750 for BronxWorks. I understand that if I do not fulfill my commitment, I will be charged for the amount not raised.*

BronxWorks is an equal opportunity/affirmative action employer and service provider. Auxiliary aids and services are available upon request to individuals with disabilities.