Your name (required)
Your email (required)
Your phone number (required)
Please select your driver license's class (Select all that apply) Class 1Class 2Class 3Class 4Class 5 & 7Class 6 & 8
Please enter your driver's license expiry date (required)
Check this if you have a secure location to store the scooter overnight (i.e. gated parking). Only those with a secure parking location will be contacted for now.
By submitting this, you verify that the information above is accurate
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