Electric Bike Miami, FL Expo October 13-15, 2017 ADVANCE REGISTRATION

Please complete all of the required fields on this form to submit your advance registration for the Electric Bike Expo.

*Salutation:
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Email:

*Is the attendee under the age of 16?:
Yes   No

Baseline Questions

These questions are required to allow us to understand your knowledge and interest in cycling and electric bikes. Please take a minute to complete the questions below. Thank You.

*Age Range:

*When was the last time you rode a bicycle?

*Have you ever ridden an eBike?:
Yes   No

*Your knowledge of electric bicycles?

*How far do you live from your place of work?

*You are attending this event as:
A consumer/enthusiast interested in learning about eBikes.
A member of the media covering the event and eBikes.
A bicycle or eBike retailer.
A manufacturer involved in the bicycle industry.
Other:  

*How did you find out about the Electric Bike Expo?
  Other:

*We are asking for your permission to send you information about the event and the companies involved in exchange for this free opportunity to test ride all of these great bikes. You may opt out at any time. Thank you.
Please send me information about the event:
Yes   No

  

Please Note: After you [Submit Your Registration], if you see the message "Cannot insert duplicate key row...",
it means you have already registered for this event. No further action is required.



Form: EBRVRegistrationXP201710.html