Repair Kit Request Form
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where did you purchase your SUPER73?
*
Please Select
SUPER73.COM
Retailer
Other
Which SUPER73 model do you have?
*
Please Select
Super73 Z Miami (SE) Bandit
SUPER73 Z Adv (Core) Sandstorm
SUPER73 Z Miami (SE) Palladium
SUPER73 Z Miami (SE) Astro Orange
Frame serial number
This is a 9 digit alpha-numeric number located on the bottom bracket between pedal cranks.
Frame serial number
This is a 9 digit alpha-numeric number located on the bottom bracket between pedal cranks.
Submit
Should be Empty: