Product Registration
Register your product on the form below.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Product Information
Product Type
*
Please Select
Electric Motorcycle
EBMX Power Upgrade
EBMX Battery
Other
Model Name
*
Serial Number
*
Serial Number
*
Purchase Date
*
-
Month
-
Day
Year
Date
Purchased From
*
Acknowledgement
By Submitting this warranty registration, you confirm that the product being registered registered is in good and working condition at the time of registration. If it is not installed, or is not running correctly, please reach out to your purchasing dealer or us directly prior to submitting the warranty form.
Signature
*
Clear
Do you want us to send you product announcements and special offers?
Yes
No
Register Product
Should be Empty: