Motor home dealer referral form

Thank you for thinking of us

**You’ve already done the hard work; so now its over to us. Simply fill in as much of the form below as you can* and we’ll do the rest.**

*At a minimum we need to know who you are and who the customer is. Everything is is helpful but not essential.

Your name

Dealership name

Your phone number

Confirmation:

I confirm that the customer has authorised me to pass this information to The Electric Motorbike Company Ltd for the purpose of a sales discussion and quote.

Customer name

Customer Phone

Customer postcode

Customer email

Interested in:

Ultra - 125cc equivalent scooter X-Tra - 50 cc equivalent scooter Senda - 50 cc equivalent scooter

Will customer carry a passenger (pillion)?

Licencing

Delvery needed by:

Anything else?

All
Gallery Item

THELMOCO Ultra

The THELMOCO Ultra is a 125cc equivalent scooter with a 4000W motor, a top speed of 50 mph and a range of 40-60 miles.

THELMOCO X-Tra

The THELMOCO X-Tra is a 50cc equivalent moped with a 2000W motor, top speed of 30mph and a range of 45 miles on one battery, 90 on two batteries.

THELMOCO Senda

The THELMOCO Senda has a 3000W motor, a top speed of 28mph and a range of 45 miles on 1 battery, 90 on two.

Any Questions? Call on 020 71276 7127

Thank you for thinking of us

**You’ve already done the hard work; so now its over to us. Simply fill in as much of the form below as you can* and we’ll do the rest.**

THELMOCO Ultra

THELMOCO X-Tra

THELMOCO Senda

Choose Your Bike

Contact