BASIC ASSESSMENT – EXACTcycle

Date

Customer-Name

Shop / Mechanic Name

Shop Email Address

Customer-Email-Address

Verify-address

Make

Model

Year

Visual-condition

1 star = Poor condition, heavily scratched / worn paint. - 2 star = Good paint with the odd small scratch / wear mark. - 3 star = High quality paint

Brake-condition

1 = Poor - 2 = Good - 3 = Excellent

Wheel-&-Tyre-condition

1 = Poor - 2 = Good - 3 = Excellent

Drivetrain-condition

1 = Poor - 2 = Good - 3 = Excellent

Bottom-bracket-condition

Headset-condition

Notes

Terms

The customer is aware that this certificate represents the bicycle condition on the time and date of assessment. The customer understands that this a 3rd party, non-binding, assessment which EXACTcycle Ltd, or the cycle retailer will not be held accountable for. Neither EXACTcycle Ltd, or the shop / mechanic that assessed the bicycle is responsible for any changes made past the time of assessment.

Inform the customer