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LCCT Bike Request Form

  1. Dan Lechner Farmers Insurance Agency has approximately 20 bikes to give away to Liberty Community Christmas Tree families this year. Please fill out the form below. It will help determine if Dan and his team have a bike that would fit your child's needs.  

    The number of bikes available is limited. We have identified recipients who have listed a bike on their LCCT application and need to collect some additional information through this form. Please do not share this form link with anyone else.

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