Retailer Application

What to expect in the soft launch process:

Step 1 - One-on-one communications
Step 2 - Apply here
Step 3 - Committee review
Step 4 - Sign authorized retailer agreement
Step 5 - You'll be added to our retailer map, website and materials

Any questions? Contact us at retailers@ebikeincentives.org.

"*" indicates required fields

Electronic Delivery of Communications and E-sign Consent

I agree to the electronic delivery of communications and e-sign consent.

Your agreement to this E-sign Consent confirms your ability and consent to receive Communications electronically from Pedal Ahead, its affiliates, and its third party service providers, rather than in paper form, and to the use of electronic signatures in our relationship with you (“Consent”). If you choose not to agree to this Consent or you withdraw your consent, you may be restricted from using the Services.

California Eligibility

You must answer YES to one of the following location questions to be eligible for consideration as an authorized retailer.

1) Does your business have a CORPORATE OFFICE in California?*

Yes

If more than one it's ok to just list one here for now.

Address

Street Address Address Line 2 City State ZIP Code

2) Does your business have a PHYSICAL STORE FRONT in California?*

Yes

If more than one it's ok to just list one here for now.

Address

Street Address Address Line 2 City State ZIP Code

3) Does your business have PRODUCT AVAILABLE in a California-based storefront?*

Yes

If more than one it's ok to just list one here for now.

Address

Street Address Address Line 2 City State ZIP Code

4) Does your business perform MANUFACTURING of e-bikes in California?*

Yes

Manufacturing here means you're building or customizing your own frames and completing assembly in house.

Address

Street Address Address Line 2 City State ZIP Code

Retailer Information

Business Name*

Owner or main point of contact name*

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Is this application for multiple California retail locations?*

Yes

You may add up to 10 separate retail locations, if you have more locations, please email all addresses to retailers@ebikeincentives.org.

Address - Use + to add additional location addresses

Street Address

Address Line 2

City

State

Zip Code

Which of the following best describes your business*

Brick and Mortar Retailer - Sales mainly at retail

Online Retailer - Sales mainly online

Hybrid Retailer - Mix of online and retail

Website*

Upload a photo of your (or one of your) storefront or physical California locations.

Max. file size: 128 MB.

This is not required but will help us better understand your physical footprint.

Retailer Experience

Do you lease or own your retail space?*

Rent

Own

Other

How many years have you been in business?*

Type of Business*

Corporation

LLC

Sole Proprietorship

Partnership

Other

List any DBAs used in the last 5 years:

Has your business had any judgements, claims, or civil suits made against it in the last 5 years?*

Yes

If yes, describe below:

Certificate of insurance must be submitted.*

Max. file size: 128 MB.

Seller's permit must be submitted.*

Max. file size: 128 MB.

How many years of experience does your business have in selling e-bikes?*

0-1 years

1-3 years

3-5 years

5+ years

Submit a sample copy of sales documentation used. (ie. sales receipt)*

Drop files here or

Max. file size: 128 MB, Max. files: 5.

We will require and upload of the sales receipt at the time of voucher redemption. We're using this sample to help build out our process for this.

Are you able to receive incentive payouts via ACH transfer? If no, there may be delays in processing voucher reimbursements.*

Yes

Are you willing to host voucher recipients (or general public) 1-2 times per year for safety training and education?*

Yes

This is not a requirement only to gauge continued engagement opportunities.

Are you able to help us ensure that voucher recipients have completed a short safety and environmental training?*

Yes

There will be public information shared on our website with more details when we launch. Recipients will be expected to have this completed before purchasing an e-bike.

Are you capable of and willing to deliver assembled e-bikes purchased by voucher recipients?*

Yes

What is an average cost for your delivery service?

What is the range (in miles) from your location that you would be willing to deliver?

E-bike Inventory Details

List e-bike brands you carry that will fit project requirements:*

Start with best selling. Class 1-3 e-bikes with integrated front and rear lights and have a 1 year warranty on electronics parts are eligible for the program.

What is the average price point for e-bikes you carry?

What quantity of e-bikes do you have available for purchase in on-hand inventory?*

1 - 10 e-bikes

11 - 25 e-bikes

26 - 50 e-bikes

51 - 100 e-bikes

100+ e-bikes

This gives us an idea of availability but is not used to determine eligibility.

Which range best represents the unit sales of e-bikes you sold in the previous year?*

1 - 100

101 - 500

501 - 1000

1001+

This gives us an idea of availability but is not used to determine eligibility.

Do you provide adaptive e-bikes to consumers?*

Yes

In the scope of this program, an adaptive e-bike is designed to meet the specialized needs of an individual rider who is unable to use a standard bike.

Do you carry cargo e-bikes in your inventory?*

Yes

In the scope of this program, a cargo e-bike is designed to carry at least one additional passenger OR designed to carry heavier or bulkier loads that standard e-bikes, has an extended frame or wheelbase, and has a published cargo carrying capacity of at minimum 100 lbs.

Do you carry basic bike accessories (helmets, locks, lights, racks, etc.)?*

Yes

Would you be willing to offer safety gear, namely helmets, at no cost or at a discount to voucher recipients?*

Yes

This gives us an idea of availability but is not used to determine eligibility.

E-bike Repairs and Maintenance Services

Do you carry parts required for repairs and maintenance of the e-bikes you sell?*

Yes

Does your shop provide in-house e-bike repair and maintenance services?*

Yes

Are you willing to provide set up and assembly services for e-bikes that were purchased with a voucher from online retailers?*

Yes

A portion for the voucher funds may be eligible to cover these costs.

Are you willing to provide repair and maintenance services for e-bikes that were purchased with a voucher from other retailers, namely online retailers?*

Yes

Does your shop provide mobile e-bike repair, maintenance services?*

Yes

Are you willing to contract with a mobile service company to provide continued service for e-bikes sold in relation to the voucher program?*

Yes

Are there any brands you are unwilling to service even if parts were available?*

Yes

If yes, list below: