Serial Number *

The serial number starts with a PA and can be found on the security label affixed to your cycle’s seat tube.

Frame Number

The frame number is either stamped into the plate that forms the mount for the rear hub-brake arm on the left chainstay, or under the bottom bracket.

Model of Cycle *

Other Model *

Frame Size

Colour *

Other Colour *

Is your cycle second hand? *

Purchased From *

Other *

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?

What will you use your Pashley cycle for? (please select any that apply)

Other

Why did you choose a Pashley Cycle? (please select any that apply)

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

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Ladies' Attire