Order Form - Pure Electric Rides

1 Order Summary

COSTAL CRUISERS STEP THRU MINI 20X4 - 52V BEACH CRUISER ELECTRIC BIKE

Quantity:

Original price was: $1,599.00.Current price is: $1,449.00.

2 Customer Information

First Name *

Last Name *

Email Address *

Phone / WhatsApp *

Country *

City *

ZIP / Postal Code

Full Delivery Address *

3 About You

Is this your first time shopping with us? *

How did you hear about us? *

Are you buying for? *

Do you currently own an electric ride? *

4 Your Electric Ride Experience

What type of electric ride do you currently own?

What will you mainly use this purchase for? *

5 Shipping Preferences

Preferred Shipping Method *

Preferred Delivery Location

Additional Delivery Instructions

6 Payment Method

Payment information: Please select your preferred payment method. Our sales team will provide the appropriate payment instructions after reviewing your order.

Zelle Venmo Cash App Google Pay Cryptocurrency Direct Bank Transfer

7 Preferred Contact Method

Email Phone Call WhatsApp SMS

8 Additional Information

Do you have any questions or special requirements?

9 Confirm Your Order

I confirm that the information I have provided is correct and I would like PureElecRides to contact me regarding this order.

Complete Your Order

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