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Fabrikant Biketec AG
Merk FLYER
Model _______________________
Framenr. _______________________
Vorkfabrikant _______________________
- Model _______________________
- Serienummer _______________________
Toelaatbare totaalgewicht
(fiets, fietser en bagage) _______________________
Kinderzitje toegestaan c ja c nee
Toelaatbare aanhanggewicht _______________________
Framevorm _______________________
Framemaat _______________________
Wiel- of
bandgrootte __________________________________
Kleur __________________________________
Bijzonderheden __________________________________
__________________________________
Stempel en
handtekening
van de dealer
__________________________________________________________
V. 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 dealer: maak een kopie van de E-bike-pas en het overschrijfbewijs en voeg de kopieën van uw klantgegevens hierbij; verstuur de kopieën in voorkomend geval naar de fietsfabrikant)
38


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