#EVieWarrior - Jersey Healthcare workers
Please complete your details so we can setup your free #EVieWarrior EVieBike usage account. All information provided on this form will be deleted once your account is setup & will not be used for any other purposes.

Please download the App before collecting the bike from https://evie.je/bike/

Any files that are uploaded by you will be shared with EVie to set up your account.

* = Required

PLEASE PROVIDE YOUR WORK EMAIL ADDRESS - we can ONLY provide you with a free #EVieWarrior bike if you use your work email address.
Email address *
First Name *
Your answer
Last Name *
Your answer
Mobile Phone Number *
We use this to send you a text with your #EVieWarrior membership ID and PIN.
Your answer
Essential Worker ID ref number *
Your answer
Contact permission *
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