Are You The Original Owner? |
YES
NO *Required |
First Name |
*Required |
Last Name |
* |
Street Address |
* |
City |
* |
State / Province / Country |
* |
Zip / Postal Code |
* |
Telephone Number |
* |
E-Mail |
* |
Which Mobo did you Purchase? |
* |
Date of purchase |
* |
Where did you purchase your Mobo? |
Shop Name:
*
City / State:
* |
How much did you pay (not including accessories & taxes)? |
* |
What accessories did you purchase? |
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How did you learn about our Mobo cruisers?
Check all that apply. |
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Family Status |
Married
Single |
Education (check one) |
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Gender: |
Male
Female Age:
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Annual Household Income: |
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Why did you choose a Mobo cruiser? |
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List your favorite magazines: |
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How many recumbents/tricumbents have you owned (including this one)? |
1
2
3
More than 3 |
Which other Mobo products do you currently own (or have you owned in the past)? |
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How many times per week do you plan to ride your Mobo (average)? |
0 to 1
2 to 3
4 to 5
6 to 7
More than 7 |
How many miles do you plan to ride your Mobo monthly (in-season)? |
1 to 20
21 to 50
51 to 100
101 or more |
How many times per year do you visit a bike shop? |
Zero
1-5
6-12
More than 12 times |
Indicate your riding interest(s)? Check all that apply:_ |
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Would you like to be added to our mailing list? |
YES
NO *Required |
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