JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Triobike Pre-order form
Shipping: Due to the high season, minimum 3weeks
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full name
*
Your answer
E-mail
*
Your answer
Handynummer
Mobile Phone
Your answer
Preferred contact method
*
Phone
Email
Required
Lieferadresse
*
Delivery address
Pick up in store (Untergrasensee 76, 84347, Pfarrkirchen, Deutschland)
Other:
Welches Modell möchten Sie bestellen?
*
Which model(s) would you like to order?
Mono (Brose Motor) | White
Mono (Brose Motor) | Black
Boxter (Brose Motor) | White
Boxter (Brose Motor) | Black
Cargo E (Brose Motor) | Silber
Cargo E (Brose Motor) | Neon Yellow
Cargo E (Brose Motor) | Black
Cargo Big (Brose Motor) | Silver
Cargo Big (Brose Motor) | Neon Yellow
Cargo Big (Brose Motor) | Black
Taxi (Kettenantrieb, Brose Motor) | Black
Cargo P (Kettenantrieb, Kein eBike), Grey
Cargo R (Kettenantrieb, Kein eBike), Dark Blue
Other:
Required
Drive system?
Chain / Kettenantrieb
Belt / Riemenantrieb
Clear selection
Zahlungsmethode
*
payment method
Cash
Bank Transfer
Paypal
Leasing (JobRad, only Germany)
Finance (Santander)
Note
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
