Fold’N'Go Student Rebate

Instructions All applicants must submit this form electronically. Upon completion of this form, applicants are to bring their ORIGINAL receipt, and current student ID to the Office of Student Affairs CC105.
Order Date *
Receipt Number *(only last six digits of the receipt number)
Name * First Last
Student ID# *
Street
City
State
Zip Code
Email *
Phone
Please note: We may contact you to gather further information on how to improve our rebate process and customer service.
Why did you buy a folding bicycle? What was your intended use of it?