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Dealers: register a bicycle sale by filling out the form below. Please ensure all fields are filled out completely. Incomplete forms will be returned. If you have any questions please email us at: contactus@bianchicanada.com for more information prior to emailing this form.

Dealer Information
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A value is required.




Customer & Bicycle Information
A value is required.
A value is required.Invalid format.
A value is required.


A value is required.
A value is required.
A value is required.




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Note: reCaptcha is used to help us reduce SPAM. Please enter the text you see in the recaptcha above and then click the submit button.


[ Please Note: Incomplete bicycle registrations will be returned. ]
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