Summit Cycles Bike Purchase Form - Formstack

Summit Cycles Bike Purchase Form

This Form is for customers who have or are in the process of purchasing a bike. If you are looking for a bike please contact our Melbourne or Sydney stores directly.

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

Postcode

Shipping Address (Leave blank if same as above)

Address Line 1

Address Line 2

City

State

Postcode

Phone

Email

ID (License Front)* No File Chosen

File uploads may not work on some mobile devices.

ID (License Back)* No File Chosen

File uploads may not work on some mobile devices.

Which bike have you purchased?*

Height (cm)

Weight (We will add 5KG to cover your riding gear)

Preferred Bar Width (mm)

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