Zap DX - Manual (Page 21)

ZAP BUYER’S CHECKLIST
As members of a new transportation industry, our staff and
management would like to thank you for purchasing your ZAP
electric bicycle from us.
As in many recreational activities, accidents can and do occa-
sionally occur. It is for this reason that we specifically bring the
following points to your attention. We ask that you read each
point carefully and ask questions of our staff if you do not clear-
ly understand any particular point addressed.
1) I have received the owner’s manuals and agree to read them
thoroughly, especially the safety warnings, before using the
bicycle. I understand that all riders should wear a bicycle hel-
met whenever riding the electric bicycle.
Please initial ___________
2) I understand that this electric bicycle is subject to all the laws
of the road, and that many states and localities have addition-
al laws which specifically apply to electric bicycles.
Please initial ___________
3) I understand the use of brakes and gear shifting mecha-
nisms, and in the use of all quick release mechanisms (wheels,
seatpost and brakes) as well as any wheel retention devices
and the ZAP motor system and controls on this electric bicycle.
Please initial ___________
4) I am aware that riding an electric bicycle involves certain
risks, dangers, and hazards which can result in serious per-
sonal injury or death. As such, I hereby freely agree to assume
and accept any and all unknown risks of injury while using the
ZAP electric bicycle.
Please initial ___________
5) I understand that regular maintenance is required to keep
this electric bicycle operating properly and that failure to main-
tain may void the manufacturer’s warranty and may make the
electric bicycle unsafe. Regular maintenance includes fre-
quent inspection of all quick release mechanisms and wheel
retention devices. I also understand that maintaining appropri-
ate tire pressure at all times is essential for the safe use of this
electric bicycle. The recommended tire pressure is marked on
the tire.
Please initial ___________
6) By initialing each item on the above checklist, I have indi-
cated my complete understanding of these points, and I
acknowledge my responsibilities regarding the contents. I also
agree to explain the points on this checklist to anyone besides
myself who will be using the electric bicycle now and in the
future.
x__________________________________ ______________
Buyer’s Signature Date
x________________________________________________
Buyer’s Name (Print)
If buyer is under 18 years of age, the buyer’s guardian must sign.
TO ACTIVATE WARRANTY, PLEASE INITIAL AND SIGN THE BUYER’S CHECKLIST ABOVE AND RETURN WITHIN 10 DAYS OF PURCHASE
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Please take a couple of minutes to fill out your registration card.
This informal survey will aid us in providing our customers with
the best possible product.
Name: ________________________________________________________
Address: _______________________________________________________
City:___________________________________________________________
State:_____________________ Country____________ Zip:______________
Phone: (H)__________________________(W)_________________________
Purchase Date: _________________________________________________
Purchased From: ________________________________________________
Serial Number (On Motor): _________________________________________
Serial Number (On Bike Frame): _______________________________
Age:______ Sex:______ Occupation:________________________________
Is this your first Electric Vehicle?____________
The type of bike I ZAPPED was a: ___________________________________
I use my ZAP for:
Commuting Recreation Work Fun Shopping
Exercise Other_____________________________________________
My typical length of ride is: ________miles
Where did you hear about our product?
Friend Relative Associate Internet
Show News Article Dealer
Ad (where)_____________________________________________________
Other__________________________________________________________
Do you own a computer? If so, what kind:
Yes No PC Mac Other
Do you use the internet?
Yes No
If so, what is your E-mail address? ___________________________________
Favorite Magazines:
1. ____________________________________________________________
2. ____________________________________________________________
3. ____________________________________________________________
Are you interested in accessories for your ZAP?
Yes No
Are you interested in assisting us in: (check applicable)
Marketing/Sales _______
Public Relations _______
Dealer Information _______
Shareholder Information (ZAP is publicly traded, Stock Symbol: ZAPP) ______
Comments:_____________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
WARRANTY CARD: Please complete both sides and return within 10 days of purchase
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