What scheme are you interested in?
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Pre Owned eBike Rent 2 Own
Name and Surname
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email-address
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Mobile
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Have you worked as a delivery courier for any of these companies?
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Please Select
Stuart
Deliveroo
Uber Eats
BuzzHire
Other
I've not worked for a delivery company
What city do you live and work in
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Greater London
Brighton
Manchester
Birmingham
Liverpool
Newcastle
Bristol
Cardiff
Leeds
Cambridge
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Post Code
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What is your current delivery vehicle?
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Please Select
Owned Petrol Motorbike
Rented Petrol Motorbike
Owned Bicycle
Owned Electric Bicycle
Rented Bicycle
Rented Electric Bicycle
Owned Car
No Vehicle
How did you hear about us?
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Search engine (e.g. Google)
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Deliveroo
Uber
Gopuff
Otto Scooter Campaign
Otto Car
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Do you have any comments or notes?
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