Bank Name:
Bank Address: (state only)
Routing umber: (must be 9 digits)
Account number:
Confirm Account number:
Check number: (upper right corner)
Cozybike LE Electric Bicycle
Electric Cozybike with Lead-acid battery for $974.50.00 with free standard shipping Choose Quantity
Color Color of the 2nd bike if you are purchasing two:
Do you want the PowerPackage to get the 1000 Watts Power instead of the 550 Watts for only $289.50?
Do you want the seat with the back rest for only $58.95?
Electric Cozybike with Lithium battery for $1,349.50 with free standard shipping Choose Quantity
Color Color of the 2nd bike if you are purchasing two:
Do you want the PowerPackage to get the 1000 Watts Power instead of the 550 Watts for only $289.50?
Do you want the seat with the back rest for only $58.95?
EcoCruiser Electric Bicycle
EcoCruiser W-36 with Lead-acid battery for $699.00 Choose Quantity
EcoCruiser W-36 with Lithium battery for $949.50 Choose Quantity
Do you want the PowerPackage to get the 550 Watts Power instead of the 300 Watts for only $249.50?
Do you want the front basket for $48.95?
Do you want the rear storage box for 49.50?
Electric Tricycle
Do you want the PowerPackage to get the 750 Watts Power instead of the 450 Watts for only $289.50?
Do you want the PowerPackage to get the 750 Watts Power instead of the 450 Watts for only $289.50?
Electric Scooter EMS-48
Do you want the PowerPackage to get the 1500 Watts Power for only $289.50?
Do you want the PowerPackage to get the 1500 Watts Power for only $289.50?
Electric Scooter GTX-L
Do you want the PowerPackage to get the 1500 Watts Power for only $289.50?
Do you want the PowerPackage to get the 1500 Watts Power for only $289.50?
II. CHOOSE YOUR MONTHLY PAYMENT & PUT DOWN YOUR DEPOSIT
You will be able to change your payment amount at any time in the future.
Monthly payment (min. $50.00) :
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Billing address
First name Last name
Street address City
State ZIP
Telephone with area code email
Shipping address (leave blank if same as the billing address)
First name Last name
Street address City
State ZIP
Telephone with area code email
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Payment information - please fill out this form
pay by check electronically Click here why!
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Bank Name: |
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Bank Address: (state only) |
Routing umber: (must be 9 digits) |
Account number: Confirm Account number: |
Check number: (upper right corner) |
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