Product Registration

Customer Info



Purchase Details

How many products would you like to register?

Product 1: name Price Serial on kickstand plate Serial on Radish

Product 2: name Price Serial Serial on Radish

Product 3: name Price Serial Serial on Radish

Product 4: name Price Serial Serial on Radish

Product 5: name Price Serial Serial on Radish

Product 6: name Price Serial Serial on Radish

Product 7: name Price Serial Serial on Radish

Product 8: name Price Serial Serial on Radish

Product 9: name Price Serial Serial on Radish

Product 10: name Price Serial Serial on Radish



About you!

What was your primary reason for purchasing this (these) Xtracycle product(s)?
Car-Free Living
Impress Friends
Fun
Commuting
Pick up chicks/dudes
Promoting your company
Save money on transportation
Protesting
Just like to buy stuff
Other:

What are you planning to do with your S.U.B. (Sport Utility Bicycle)?
Touring
Groceries
Partying
Kayaking
Multi-sport
Cruising
Surfing
Bike camping
Courier
Other:

 

Sex

 

 

 

Do you consider yourself an environmentalist? Yes No

How did you hear about Xtracycle?
Friend
Web
Media
Bike shop
Xtracycle Event
Other:

What is your initial impression of this product and the service you've received so far?

Are you interested in hearing about becoming involved with our non-profit sibling, WorldBike? Yes No

Would you like to receive Xtracycle's newsletter by email? (We swear we will not sell your email address or you can hit us over the head with a FreeRadical) Yes No

Do you have any friends who'd like a catalog? Yes  No

Friend 1:


Friend 2: