Please complete the fields below, attach one or more photos, and then click submit.
Your replacement part will not be dispatched until you have completed and submitted this form.
Agent Name: (required)
Agent Email: (required)
Bike Model: (required)
Bike Serial Number: (required)
Total kms on bike (be sure and check the total distance meter and not the trip meter)
Description of fault:
Part required (per discussion with Service Manager): (required)
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