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Fabrikant Biketec AG
Merk FLYER
Model _______________________
Framenr. _______________________
Accunr. _______________________
Vorkfabrikant _______________________
- Model _______________________
- Serienummer _______________________
Toelaatbaar totaalgewicht
(Fiets, accu, berijder en
bagage) _______________________
Kinderzitje toegestaan c ja c nee
Toelaatbaar aanhanggewicht _______________________
Framevorm _______________________
Frameformaat _______________________
Wiel- of
bandformaat __________________________________
Kleur __________________________________
Bijzonderheden __________________________________
__________________________________
Stempel en
handtekening
van de FLYER
dealer
__________________________________________________________
E-bike-pas
Hier toevoegen voor het kopiëren
O6
Remhendel
Remtoewijzing
Linkerhendel
c Rem voorwiel
c Rem achterwiel
Rechterhendel
c Rem voorwiel
c Rem achterwiel
(Tip voor de FLYER-dealer: kopieer de E-bike-pas en het overschrijfformulier en voeg een kopie toe aan uw klantgegevens; stuur indien nodig een kopie naar de fietsfabrikant)
54


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