JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RETAILER INQUIRY
Thank you for your interest in Genio Bike products! Start the conversation by completing the form below. We'll get back to you with next steps. Please fill out this form and tell us about your inquiry below.
[ID]
Terima kasih telah menghubungi kami. Silahkan lengkapi form berikut jika Anda berminat menjadi dealer resmi atau menjual produk Genio Bike.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name
*
Sebutkan nama lengkap Anda
Your answer
E-mail
*
Sebutkan alamat email Anda. Anda akan dihubungi melalui alamat email ini, pastikan benar.
Your answer
Phone number
*
Nomor telepon yang bisa dihubungi.
Your answer
Name of Shop
*
Nama Toko Sepeda Anda
Your answer
Full Address
*
Alamat lokasi Toko Sepeda Anda
Your answer
How long have you been in business?
Choose
< 1 year
1-5 years
6-10 years
> 10 years
What bicycle brands do you currently carry?
Brand sepeda apa yang saat ini Anda jual? (contoh: Polygon, United, Thrill, dll)
Your answer
Please select what bike categories you sell?
Sebutkan kategori sepeda yang rencana akan Anda jual.
Mountain Bike
Road Bike
City Bike
Folding Bike
Kids Bike
What interests you about the Genio Bike brand?
Apa yang membuat Anda tertarik dengan Brand Genio Bike?
Brand Reputation
Range of Product
Suitable with the market segmentation
Other:
What is the item you would like to order?
*
e.g. Genio Vangard, Genio Scappa, Genio Runes | Sebutkan beberapa tipe sepeda yang rencana akan Anda jual.
Your answer
Message
*
Please explain your short or long-term plans. | Jelaskan rencana jangka pendek dan jangka panjang Anda terkait penjualan sepeda.
Your answer
Konfirmasi jika Anda setuju dihubungi melalui email dan masuk dalam list newsletter Genio Bike
I agree to receive emails from Genio Bike
Pastikan Anda mengirimkan konfirmasi bahwa telah mengisi form ini secara lengkap dengan
mengirimkan email ke info@genio.bike
dengan Subject: "Retailer Inquiry - Nama Toko"
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of PT Terang Dunia Internusa.
Report Abuse
Forms
