SECURED ORDER PAGE FOR COZY BIKE
Place your Order here To Receive The Free Shipping.
This secured order page guarantees that your personal information will be safeguarded.
 
Congratulations on your wise investment for Your Electric Bicycle!
Please fill out this form then click the "submit" button on the end of this page to proceed to the next page!

 

Electric bicycle Cozybike LE with Lead-acid battery for $849.00    Choose Quantity   Choose Color     
  Choose the second color if you are purchasing two bicycles     
Electric bicycle Cozybike LE with Lithium battery for $1,249.50 Choose Quantity   Choose Color     
   Choose the second color if you are purchasing two bicycles     

 

Do you want the expedited shipping for only $48.50?          
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 $58.50?          
Do you want the extended warranty for $75.00?  
 

If you want to reserve our today's low price and want us to charge your account or ship this product at a later time -up to 90 days- please take a note:

 ______________________________________________________________________________________________________________________________                                                                                                          

Information about You as the Purchaser (shipping address may be different if wanted as shown on the next page)

Billing address

First name                          Last name

Street address            City

State                   ZIP

Telephone with area code (home phone)            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

_____________________________________________________________________________________________________________________________

Payment information - choose below

 

 
Bank Name:    
         

Routing umber: (must be 9 digits)                  

Account number:                               

Confirm Account number:                

Check number: (upper right corner)                   

 

 
OMEGASTORES
314 Main St  #4572
Wallingford, CT 06492

 

  • Option Three: fax us your order:

1. Fill out the order form above using your check

2. Print out this form           

3. Fax it to us at 203-741-1040    (24/7, anytime)

 

Why not credit cards?

  • As you can learn from the news, credit card hackers are stealing customers' credit cards, and we do not want you to risk such a case.
  • Bank and credit card companies are raising their fees to the blue sky, and instead of increasing our prices to pay their fees , we pass that savings to you.
  • In this case everybody is a winner, and we even send you some extra parts for free!

 

(CLICK  the Submit button, then please wait a few seconds for the page to upload)

___________________________________________________________________________________________________