Warranty Registration || Electric Vehicle Systems

Congratulations on purchasing an EVS Electric Vehicle. Make sure to include a copy of your receipt for purchase date verification. Warranty will not be in effect without proof of purchase date.

FIELDS ARE REQUIRED

First Name

Middle

Last Name

Address

Address 2

City

Country

State

Zip

Phone

Email

Model

Vehicle Identification Number

Color

Invoice Number

Date Purchased

	Day	Month	Year

Place Purchased

Gender
Male Female

Age

Highest Level of Education Completed:
High School
Associate’s
Bachelor’s
Master’s
PhD

Household Income:
Under 25,000
26,000 - 30,000
31,000 - 40,000
41,000 - 50,000
51,000 - 75,000
76,000 - 100,000
101,000 +

What is your occupation?
Management
Sales & Marketing
Manufacturing
Retail
Engineering
Health Field
Law
Law Enforcement
Government Services
Other

	If other, please enter here

What are your hobbies?
Bicycling
Tennis
Golf
Run/Walk/Hike
RV/Road Tripping
Hunting/Fishing
Camping
Off-Roading
Boating
Other

	If other, please enter here

How did you hear about EVS?
Authorized EVS Retailer
Friend/Co-worker
Expo/Convention
Newspaper/Magazine Advertising
Direct Mail
Website
Other

	If other, please enter here

Where will the bike primarily be used?
Streets or Bike Path
Trails
Rough Terrain
Other

	If other, please enter here

How will the bike primarily be used?
General Transportation
Exercise
Running Errands
Joy Riding
Hunting/Fishing
Security
Other

	If other, please enter here

Would you like to receive additional information about EVS products?
yes (if yes choose below)

	Electric ATV’s
	Electric Motor Scooters
	All Products

Please rate how the following factored in your purchasing decision:

		Very Important	Somewhat Important	Neutral	Not Very Important	Not at all Important
	1. Environmental Friendliness
	2. Ease of Operation
	3. Power/Performance
	4. Range/Distance
	5. Styling/Color
	6. Price
	7. Low Maintenance
	8. Electronic Display Features
	Other Features/Factors
	If other, please enter here

*Electric Vehicle Systems Inc., is a multinational designer, and seller of electric vehicles and is dedicated to the proliferation of electric drive technologies.

1070 S Northpoint Blvd, Suite D. | Waukegan, IL. 60085 |

Toll Free (800) 358-8345

| Fax (847) 688-0543