2 years

PURCHASER

Name and Surname : (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!




Conforming to the Italian law n. 196 of Giune 30th 2003, I hereby explicity authorise the use of my personal data. (Civil Code for the Protection of Personal Privacy)

I authorize:

I do not authorize: