Bicycle information
Bike model purchased
Bike Color-Size
Serial number
Date of purchase
Store Information
Province
Name of bike store
Personal information
First name
Last name
Phone
Email
Address
City
Province
Postal code
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Promotional item choices











Upload receipt
In order for us to ship out your value added kit, we need a copy of the bicycle sales receipt.

If you have a pdf or jpeg copy of the sales receipt, you can upload it here:


If a pdf or jpeg copy is currently not available, please do one of the following:

Email a copy of the receipt to nola@specialized.ca
(please include your promo confirmation number in the email subject field)

Fax a copy of the receipt to 514-457-6052
(please include a cover page that has your full name along with the promo confirmation number)
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