Name
*
First Name
Last Name
Email
*
example@example.com
Request Service or Submit Feedback
*
Please Select
Request Service
Submit Feedback
Drive Unit Serial Number
*
5-digit serial number is located on the wheel side of the Drive Unit
Type of Issue
*
Something is broken or stopped working
Something isn’t working the way it used to
Something started making noise
Need help installing something
Other
System component(s) affected? (Select all that apply)
*
Full System
Drive Unit
Throttle
Wiring harness
Rotor-Gear
Brake rotor
Battery
Battery Mount
Mounting Bracket/Quick Connect
App
Other
Please describe the issue(s) you are having
*
How long has the issue been happening?
*
Estimated Elevate Use
*
Ride Feedback or General Product Feedback?
Please Select
Ride Feedback
General Product Feedback
Type of ride
MTB XC/Trail
MTB Enduro
Gravel Roads
Paved Roads
What was the dominant elevation profile of your ride?
Flat
Rolling Hills
Long Steady Climbs
Steep Punchy Climbs
A little bit of everything
Is this your first time riding Elevate?
Yes
No
Was this your first time riding an ebike?
Yes
No
Do you own an ebike?
Yes
No
Ebike Info
Elevate Ride Stats
How was Your Ride with Elevate?
Please share your product feedback
Optional: Add images or other relevant attachments
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