FINANCING FORM
Name
*
First Name
Middle Name
Last Name
DATE OF BIRTH (DAY-MONTH-YEAR )
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
OCCUPATION
*
JOB
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
NAME OF THE BIKE
*
PAYMENT PLAN
*
$500 WITHIN 14 DAYS
$1,000 WITHIN 14 DAYS
$1,000 A MONTH
PAYMENT OPTIONS
*
ZELLE PAYMENT
CASH APP PAYMENT
APPLE PAY PAYMENT
BITCOIN PAYMENT
CHIME PAYMENT
UPLOAD A SCREENSHOT OF THE BIKE
*
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of
UPLOAD A CLEAR PICTURE OF YOUR ID, DRIVER'S LICENCE OR PASSPORT
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BOTH SIDES (FRONT AND BACK)
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SIGNATURE
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