2 years

PURCHASER

Name : (required)

Surname : (required)

Date of birth : (required)

Address: (required)

City: (required)

Zip code: (required)

Email: (required)



HELMET FEATURES


Model reference: (required)

Color: (required)

Size: (required)

Homologation Number: (required)
(Es: E3012345/P 012345) The number is on the ticket sewn to your chin-strap



INFORMATION ON THE PURCHASE


Date of purchase: (required)

Store/dealer: (required)

Invoice Number/Ticket Receipt Number: (required)

Amount paid for the helmet: (required)



1. Why did you choose a PREMIER helmet?

Other:


2. What helmet did you use before purchasing a PREMIER helmet?

Other:


3. What type of motorcycle do you ride?



11. Help us improve our product with your suggestions!




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