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Pacific Bicycle - Purchase Record

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Fill in Immediately and retain as a record of your purchase.
Your Name: __________________________________________________
Address: ____________________________________________________
Date Purchased: ________________ Place of Purchase: ____________
Model Name: __________________________________________________
Wheel Size: ____________________
Color:__________________________
Serial Number: __________________
*Please retain your sales receipt for any possible warranty claims.
Serial Number Location
86
11/99.bikemanual 11/24/99 3:55 PM Page 93