Electric Bike Retailer Application

Welcome to the Participating Retailers Application Page

If you are an e-bike retailer based in AB and can provide us with a current, valid AB business license, you’re welcome to join our program.

Simply complete the application below, and you will be added our our list of Participating Electric Bike Retailers.

Please take the time to read through all the Program Policies so that you can better serve our joint customers.

After you join our program, we will send you a store window sign (if you have a storefront) and some information brochures that can be provided to customers.

Agreement Program Policies

I have read all the program policies and understand how they apply to e-bike customers.

I agree to provide a copy of my Alberta Business License below.

I understand that I must provide each customer with 2 receipts, a POS terminal receipt and a printed store receipt that shows the customer's name, business name & address, an invoice number, date of purchase, description of the e-bike purchased, and total cost before taxes.

The person(s) named below is the key contact for our store. They will be made aware of the program and agree to co-operate with program staff who call to verify e-bike purchases and claim documentation.

My store is:

A physical location, retail storefront. No website for online orders.

A physical location, retail storefront AND online ordering through a website.

Online store only.

Applicant Information

Main Contact First & Last Name

Typically the owner or full-time store manager.

Main Contact Email

Main Contact Mobile Phone

Secondary Contact First & Last Name

Complete only if other full-time person is regularly available.

Secondary Contact Email

Business Name

The name that will appear on your e-bike store receipts. This will also be your "store name" on our website.

Address (Physical Location)

The physical address customers can go to if you have a storefront. Leave blank if not applicable.

Address (Mailing Only)

Your mailing address if your store is online only.

City

Province

Postal Code

Website

This link will be posted on our website. You do not have to include https://

Upload a copy of your AB Business License

If you operate an online store only, we still need to confirm that you are an AB-based business.

Maximum file size: 33MB

Verify

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