Request Service Appointment Form
Disclaimer: We are still getting set up and organized, for the time being we will be taking appointments by having our technicians contact you after filling out this form. Please fill out this form and we will be in contact shortly!
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Ebike Manufacturer (company) and Model  
Example: Aventon Adventure 2.0
*
FOR REPAIR: Please give us a brief description of the problems you are experiencing and how these problems happened. 
FOR TUNE UPS/GENERAL MAINTENANCE: Please give us a brief description of what is going on that we can assist you with. 
FOR ASSEMBLY: Please indicate the make and model of bike you ordered and if it is a ebike, excooter, e trike, etc and any accessories ordered with it. 
Your Name: (First and Last) *
Your Phone Number and email address *
PLEASE SELECT WHICH METHOD OF COMMUNCATION WE CAN USE TO GET IN CONTACT WITH YOU.
*
AT THIS TIME WE ARE STILL GETTING SET UP AND WILL CONTACT YOU ONCE THIS FORM IS SUBMITTED TO SET UP A TIME WE CAN SERVICE YOUR VEHICLE
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