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Email
*
Enter service email address if different. Enables faster response from VMAX support
First Name
*
Last Name
*
Phone Number
*
Company name
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Street address
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City
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State/Region
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Mobile phone number
*
Number of employees
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Please Select
1-5
5-25
25-50
50-100
100-500
500-1000
1000+
Website URL
*
Facebook or Instagram company page
LinkedIn company page
How many years are you in business?
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Which are your current sales channels?
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In Store
Online
Which e-scooter or e-bike brands do you currently carry?
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Yes, you can publish my shop phone number on your website's dealer list
I'd also like to become a Certified Repair Center. Please send me more information and the free welcome package.
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