Intake Form

Please fill out the form below to start your repair process:

First name *

Last name *

Company name

Email *

Model *

What is the name brand, model of the ebike, kit or DIY?

Battery Voltage *

Check the battery label for the rated voltage

Battery Capacity *

Check the battery label for the amp hour rating

Type of Problem *

What is the symptom you're experiencing?

Ticket description

How can we help?

Return Shipping Information

Street address

City

Province

Postal code (zip) *

Phone number