FiSHAW 14 Day Trial Registration Form

14 DAY TRIAL Registration Form

Please fill in the form below
Full Name*

First NameLast Name
Address*

Street Address

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CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Order or Invoice Number*
Trial Start Date*

DayMonthYear
Date
Choose your Model/s*

UB420 URBAN MID-DRIVE E-BIKEUB600 URBAN MID-DRIVE E-BIKETX450 TOURING MID-DRIVE E-BIKEF30 FOLDING MID-DRIVE E-BIKEM300 HARDTAIL E-MOUNTAIN BIKEM500 FULL SUSPENSION E-MOUNTAIN BIKEUB200 URBAN REAR HUB E-BIKE
I agree to the 14 Day Trial terms and conditions found in FiSHAW's Refunds and Returns Policy*

YES
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14 DAY TRIAL Registration Form