Register your bike

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Thank you for purchasing a Juliana Bicycle.

Please submit this form within 45 days after your purchase.
If you have any questions, please contact us.


Please answer this simple math question to let us know if you are a human.

What is 1+3? :

Email:

Name :

Serial # :

e-mail :

Address :

City :

State :

Zip :

Country :

Telephone :

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Bike Model :

Size :

Color :

Model Level (i.e. Primeiro, Segundo, or Terco) :

Purchased Price :

Purchased From :

Why did you choose
Juliana Bicycles :

Occupation :

Extra Comments :