testform Web Form First Name: Last Name: Email: Phone: Gender: Model Name: SUPER73-SG SUPER73-SG1 SUPER73-R SUPER73-RX SUPER73-S2 SUPER73-ZG Other Did you have your Super73 assembled by a specialist? YES (IF SO, PLEASE BE READY TO PROVIDE PROOF) YES (IF SO, PLEASE BE READY TO PROVIDE PROOF) NO, I ASSEMBLED IT MYSELF (NOT AN E-BIKE SPECIALIST) PICKED IT UP FROM SUPER73 HQ OR AUTHORIZED DEALER Other Location of Purchase (dealer, website, etc.) SUPER73 HQ SUPER73 WEBSITE A DEALER IN THE USA A DEALER IN THE EUROPE A DEALER IN THE AUSTRALIA Other DATE OF DELIVERY PRODUCT SERIAL NUMBER CITY (WHERE BIKE IS USED) ZIP CODE (WHERE BIKE IS USED) COUNTRY (WHERE BIKE IS USED) What do you primarily use your Super73 for? COMMUTING FOR SCHOOL/GETTING AROUND CAMPUS COMMUTING TO WORK USE ON THE JOB GENERAL TRANSPORTATION AROUND A BIG CITY (FOR EVERYTHING: WORK, ERRANDS, GOING OUT, ETC) WEEKEND LEISURE/JUST TO HAVE FUN LEISURE: OFF-ROADING FARMS/HUNTING/FISHING/AGRICULTURAL/FOREST GROUNDS OTHER I certify that I have read my Super73 Owner's Manual entirely and am familiar with its contents and safety recommendations. Yes How was your overall experience with us? 1 2 3 4 5 If you weren't super happy, how can we improve your experience?