Nippon E-Bikes Test Ride
Name
Name
*
First
Last
Address
Address
*
Street Address
City
Postal / Zip Code
Contact Phone Number
*
Email
Do you currently own an electric bike
Do you currently own an electric bike
Yes
No
How would you rate your cycling experience?
How would you rate your cycling experience?
I am a frequent cyclist
I have cycled and am looking to reengage
Novice/No experience
How would you rate your fitness level?
How would you rate your fitness level?
Very fit
Average fitness
Less than average/unfit
What type of e-bike would you like to trial?
*
What type of e-bike would you like to trial?
Folding Bikes
Off Road/Rugged Terain
Crossbar Frame
Step Through/Low Crossbar
Leisure/Pleasure
Petite/Smaller Frames
City Bikes
Do you have a budget we need to respect?
*
Do you have a budget we need to respect?
less than £,1500
between £1,500 - £3,000
more than £3,000
On what days would you be available for your trial?
On what days would you be available for your trial?
Weekdays only
Weekends only
Anytime
How quickly are looking to book your trial/purchase your new bike?
How quickly are looking to book your trial/purchase your new bike?
As soon as possible
Within the next month or so
I'm in no rush