Electric Scooter Order Form

This form is to be used to request quotes or make order enquiry only.
All details must be completed in full. After Receiving quote, if we do not receive
response, we are under no obligation to supply further quotes or services, so do please
inform us if you change your decision on the order you are about to submit.
Please remember, you are under no obligation to go ahead with order if not satisfied.

General Details

Full Name:

Company Name:

Company Address 1:

Address Line 2:

Town / County:

Country:

Telephone No:

Fax No:

Email:

Requirements:
For container quantities, enter 1 x 20ft / 2 x 40ft etc, please specify colour required or mixed.

Electric Scooters:

Model Number: Quantity Colour Model Number Quantity Colour

ACE-V03 ACE-V06

ACE-V07 ACE-V08

ACE-V09 ACE-V10

ACE-V12 NBE-06

QQE01 QQE02

QQE04 QQE05

QQE06 QQE07

QQE09 QQET11

QQE12 QQE13

QQE14 QQE17

QQE18 QQE19

YWE01 YWE06

YWE02 YWE07

YWE03 YWE08

YWE04 YWE09

YWE05 YWE10

Would this be a regular order?

How often would you be ordering?

How do you intend to make payment?

Do you have your own shippers or would shipping also need to be arranged?

If shipping to be arranged, please state full delivery address or port of arrival for you to collect from:

Any Other comments / questions?

General Details
Full Name:
Company Name:
Company Address 1:
Address Line 2:
Town / County:
Country:
Telephone No:
Fax No:
Email: