Dero ZAP - Pre-Registration

Account

First Name:

Last Name:

Email Address:Enter email address.

Verify Email Address:Again for verification.

Password:Select a password.

Verify Password:Again for verification.

ZAP Tag#:Enter ZAP tag number. If you are adding a tag, please contact support for help.

Verify ZAP Tag:Again for verification.

Username:If you would like to appear in public reports such as "Top Riders" enter a username here. You may enter your real name if desired. If you leave the field blank your stats will not appear in any publicly available reports.

Ridership Level:

Gender:

Participant Type:

Bicycle Serial:

Age Group:

Department:

Building:

Home Street Address:Used to auto-calculate distance

Home ZIP Code:

Miles From Home: