Bikes Registration

Please fill form below in order to register your electric bicycle’s warranty.

Personal Information

* Mandatory Fields

Mr Mrs

Name *

First Name *

Civic Numbere *

Street *

Apartment

Zip code *

City *

Province *

Country *

Home phone *

Cell phone

Email Address *

Confirmation email *

Retailer’s Name*

Purchase Date *

Model *

Serial No

Kit Serial No

Battery A Serial No

Battery B Serial No

What made you choose a Velec?

Did your retailer provide you with all relevant information?

What do you personally believe could be done by Velec to improve their products and/or sales experience?

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