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 SignatureDate

x________________________________________________

Buyer’s Name (Print)

If buyer is under 18 years of age, the buyer’s guardian must sign.

òFOLD HEREò

TO ACTIVATE WARRANTY, PLEASE INITIAL AND SIGN THE BUYER’S CHECKLIST ABOVE AND RETURN WITHIN 10 DAYS OF PURCHASE

WARRANTY CARD: Please complete both sides and return within 10 days of purchase

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 _______

Earn $50 for articles!

Public Relations _______

(Call ZAP's PR Department for details)

Dealer Information _______

 

Shareholder Information (ZAP is publicly traded, Stock Symbol: ZAPP) ______

Comments:_____________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

See us at our Web Site!

ZAPWORLD.COM

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Zap DX owner manual ZAP BUYER’S Checklist, Zapworld.Com

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