7 Durham St, Levin
06 367 8272

Application Form

Application Form


Download The PDF Application From

Simlpy click on the link below and the”Application Form” will download to your computer automatically.


Fill out the Application Form

Option 1. The application form has fillable fields, simply type directly onto the application form then save.
Option 2. Print the application form, fill out with a pen, then scan and save a copy onto your computer.


Email Back to Us

Simply send us an email to brian@trikesnz.co.nz and attache the application form to your email and we’ll get back to you with a quote as soon as possible. Thanks

Please provide us some further info for needs, sizing and specs

Application Form – Download Here


Application Form – Launch Now