Customer
Surname, Name
Address
Postcode / Locality
Tel / Fax
E-mail
Model
Model
Color
Special features / accessories Rear parcel rack, front and rear light kit
Stamp and signature of the ICONE specialist dealer
Brake
lever
assignment
Right lever
front wheel brake
rear wheel brake
Left lever
front wheel brake
rear wheel brake
This form is necessary in case of technical assistance which,
together with the purchase document, must be presented
to the after-sales service.
14. Warranty card
13. E-bike certicate