Pedal Secure - Join Pedal Secure Today!

Join Pedal Secure Today!

Please fill out the following order form to start your Pedal Secure Membership. You will receive confirmation of your order by email at the email address you provide below. You will also receive a physical package in the mail containing your membership card as illustrated above with your Membership ID# as well as your written benefits plan.

If you have any questions, please use the space provided below or use our contact page anytime.

We look forward to serving your Biking Roadside Assistance for years to come.

* represents required field

First Name *
Last Name *
Email Address *
Phone Number *
Home Address *
City *
State *
Zip Code *

Select Your Plan Type *

Covered Bike Serial Number(s) * Lock-out Service requires Pedal Secure to have each covered bikes serial number at least 15 days prior to any Lock-Out claim. Enter the serial number for each covered bike. Please use a comma to separate multiple numbers. These can be provided at a later time if necessary, but will prolong your use of the Lock-Out Service.
Pick 4-digit PIN Number * This PIN (Personal Identification Number) is for account verification purposes.
Where did you hear about us? * Bike Shop Name, Association, Event, TV, Radio, Internet, etc.

Please include any additional comments or questions you may have. *

Credit Card Information

Select Your Credit Card Type *
Full Name as it Appears on the Card *
Credit Card Number * No Dashes or Spaces.
Expiration Date * Example: 12/09
CVV * Security number on the back of the Credit/Debit Card.
Billing Zip Code * Use the Zip Code that is on file with the Credit/Debit Card Company.

Type the following: For security purposes, please type the letters as seen in the image.

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Now Get Out and RIDE!!!