FiSHAW 14 Day Trial Registration Form

14 DAY TRIAL Registration Form

Please fill in the form below
Full Name *

First Name Last Name
Address *

Street Address

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City State / Province

Postal / Zip Code Country
Phone Number *

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

Day Month Year
Date
Choose your Model/s *

UB420 URBAN MID-DRIVE E-BIKE UB600 URBAN MID-DRIVE E-BIKE TX450 TOURING MID-DRIVE E-BIKE F30 FOLDING MID-DRIVE E-BIKE M300 HARDTAIL E-MOUNTAIN BIKE M500 FULL SUSPENSION E-MOUNTAIN BIKE UB200 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