Customer Information

First Name *

Last Name *

Email *

Phone *

Shipping Details

Street Address *

City *

Province / State *

Country *

Postal Code *

Shipping Additional Details

Please provide any other important shipping information we may require to get this replacement to you smoothly as possible

Product Details

Product Type *

Warranty Information

Rim Warranty Claim *

I confirm that the hub I am sending for the rebuild is a standard J-bend hub and not a straight-pull or any other unsupported hub style. *

Bar / Bike Warranty Claim *

Shipping Option *

Purchase Details *

Proof of Purchase *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG, PDF.

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Please attach Proof of Purchase, which needs your name and contact details on an invoice from the sales transaction to be approved. All claims without these details will fall under a crash replacement.

Photos of the Bike *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG, PDF.

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Please attach some photos of the bike.

Product Information

Bike Model *

Wheel Position *

Rim Model *

Spoke Count *

Rim Size *

Rim Serial Number *

Located under the tape and near the valve hole of your rim

Bike Serial Number *

Located under the bottom of the hatch

Hub *

Front Hub Spacing *

Rear Hub Spacing *

Disc Mount *

Driver Body *

Bar Rise *

Stem Length *

Stem Brand *

Stem Brand Name *

Description of Damage *

In a brief description, describe how you think it broke.

Attachments: *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG, PDF

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Please attach images of the damaged area and a photo of the serial number. No claims will be processed or approved without an image of the serial number.

Spokes and Nipples *

Correct sizes and nipples will be added to your quote based on the hub and rim info.

Spokes *

Nipple Colour *

Incident Details

Rider Weight *

Tire Used *

Tire Pressure Check

Starting Tire Pressure *

Tire Damage *

Insert Used *

Pedals

Bike Size

Frame Protection

Rear Rotor Size *

Wheelset *

Bike Assembly *

Bike Shop Name

Travel *

Comments

Thank you, {{text}} {{text-1}}. Your claim has been successfully submitted!

Thank you for providing the necessary information. We will review your claim promptly and notify you of any further steps or updates.

Thank you, {{text}} {{text-1}}. Your claim has been successfully submitted!

Thank you for providing the necessary information. We will review your claim promptly and notify you of any further steps or updates.

Warranty & Crash Replacement Form

Customer Information

Shipping Details

Product Details

Warranty Information

Product Information

Incident Details

R65 700C 24H

R65 700C 24H

INDUSTRY NINE

SUPPORT

PARTNERS

Country/region