Claim Your Bike

If you are a recipient of a bicycle as a result of a promotion or give-away, and have recieved a letter from Zane's asking you for information in order to deliver your bike, please fill out the form below to claim your bike.

• Fields with asterisks are required.

Contact & Shipping Information

• First Name *
• Last Name *
• E-mail Address *
• Phone *

• Address Type * Residential Commercial

• Country (not listed) Canada Mexico United States
• Shipping Address *
• City *
• State * Alabama Alaska American Samoa Arizona Arkansas Armed Forces Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code *
• State / Province
• Postal Code *

Measurements

• Your Height * feet inches
• Your Inseam * inches

• On a pair of pants that fit well, measure from the center of the crotch to the bottom of the leg.

Bike Information

Please note: You will receive a men's (or unisex) bike if "ladies" or "WSD" (women's specific design) is not listed as part of the bicycle model on your fit letter. To request a ladies model, please use the Comments / Requests field below.

• Bicycle Model *
• Premium Company *
• Purchase Order No. *

• Comments / Requests

Send Information Clear Form

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After completing this form, you will receive an e-mail confirmation indicating that your claim was received. If you do not receive an e-mail confirmation within four hours, or if you experience other technical difficulties, please e-mail eZane's at info@ezanes.com.

^† Delivery of your bike will be delayed if you specify a commercial address but ship to a residential address.