Reply To: Insurance

25 September, 2020 at 2:32 pm #6673

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Bike Information

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Gender

Male
Female
Prefer not to say

DO YOU OWN A CCM MOTORCYCLE?

Yes, I'm a CCM owner!
No, I'm just an enthusiast!

TELL US WHICH CCM/S YOU OWN

	Bike model	Bike Registration
1

FIRST HEAR ABOUT CCM

WHERE DID YOU FIRST HEAR ABOUT CCM?

Please name

Social media

Magazine

Please specify

HOW MANY MILES DO YOU RIDE ANNUALLY?

WHEN DO YOU PLAN TO BUY YOUR NEXT BIKE?

CONSIDER ANOTHER CCM

WOULD YOU CONSIDER ANOTHER CCM?

Yes
No

Why not?

BIKE YOU WANT CCM TO MAKE

First name *

Last name *

Password *

Confirm Password *

CONTACT INFORMATION

Phone *

Street Address *

Town/City *

Zip/Postcode *

Country *

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

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