Bicycle Helmet Order Form

"*" indicates required fields

First Name*

Last Name*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Quantity*

Size*

By clicking the Submit button, you consent to being contacted by Harding Mazzotti, LLP at the number and/or email provided, and consent to receiving SMS/text messages. Message and Data Rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP. You acknowledge that submitting this form and the information contained therein does not establish an attorney client relationship, and therefore, you will not rely upon this information as legal advice. By submitting this form, you understand that any information received in response to this questionnaire is general information for which there will be no charge.

Order Free Bike Helmets

Harding Mazzotti, LLP will always be there to protect your rights when you’re injured – but more importantly, we want to help prevent an injury from happening in the first place.

To help keep your child safe when riding a bicycle, we provide FREE helmets at several locations throughout the Northeast during the summer months.

We also partner with other local businesses and law enforcement throughout the community for our Safe Summer Program, distributing helmets to children in need.

we're here for our community

At Harding Mazzotti, we are always grateful for the support of our community and strive to give back whenever we can. Follow us on social media and subscribe to our newsletter to stay up-to-date on what we’re doing next!