Serial Number *

Starts with PA

Frame Number

Model of Cycle *

Other Model *

Frame Size

Colour *

Other Colour *

Is your cycle second hand?* *

Purchased From *

Dealer's Website Address *

Dealer's Name *

Dealer's Location *

Date of purchase *

Any suggestions of how your experience of purchasing a Pashley could be improved?

How did you hear about Pashley?

Other

Have you added any accessories or luggage to your cycle? (please detail)

Do you own any other cycles? (please detail)

Title (Mr/Mrs/etc) *

First Name *

Surname *

Address line 1 *

Address line 2

Address line 3

Town/City *

County/Region

Postal Code *

Country *

Email Address *

Mobile Telephone

Home Telephone

Gender

Age

Occupation

Do you have any further comments or feedback for Pashley?

Would you like to receive further news from Pashley? (tick to confirm) We will not give your details to any third parties

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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