JIVR service form
* Required
Email address
*
Your email
The date on which the defect was discovered
*
MM
/
DD
/
YYYY
JIVR's owner name
*
Your answer
Address to collect JIVR:
*
Your answer
Phone number
*
Your answer
What is the issue?
*
Drivechain
Bearings
Quick release
Brake
Handlebar
Charging
Other:
Comment (short note about problem)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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