JavaScript disabled! Please note that in order the form to perform as expected your JavaScript must be enabled!
Please complete all mandatory fields marked with
*
Personal Details
Title:
Please Select
Mr.
Mrs.
First Name:
*
Last Name:
*
Address 1:
*
City:
*
Postal Code:
*
Country:
*
France
Mobile Number:
*
E-mail Address:
*
Confirm E-mail Address:
*
Payment Method
Payment Method
*
Wire Transfer
Revolut
Bank Transfer Details
Account holder's profile type:
*
Please Select
Individual
IBAN:
*
SWIFT:
*
Beneficiary name:
*
Enter full names of the beneficiary of the account as per passport/identity card (without initials and title).
Beneficiary name:
*
Enter full names of the beneficiary of the account as per passport/identity card (without initials and title).
Revolut Details
Account holder's profile type:
*
Please Select
Individual
Revtag
*
To check your
Revtag
, go to your
'Profile'
by tapping your profile picture in the top left corner.
Beneficiary name:
*
Please provide the name as it appears on your Revolut account.
Beneficiary name:
*
Please provide the name as it appears on your Revolut account.
Product Details
Number of products purchased:
1
2
3
4
5
Product 1:
*
Please Select
Freecom 2X DUO
FREECOM 2X DUO DAFY
Freecom 4X DUO
FREECOM 4X - DUO DAFY
PACKTALK EDGE DUO DAFY
Packtalk EDGE ORV DUO
PACKTALK NEO DUO DAFY
Packtalk EDGE DUO
Packtalk NEO DUO
Packtalk PRO
Spirit DUO
SPIRIT DUO DAFY
SPIRIT HD DUO
SPIRIT HD DUO DAFY
Serial No 1:
*
Serial No 2 1:
*
*for DUO pack only, for PACKTALK PRO single, please input the same serial number twice
Date of Purchase 1:
*
DD/MM/YYYY
Purchase Price 1:
*
Store & City 1:
*
Please Select
Cardo online
Cardo Systems Online
DAFY moto
Maxxess
Motoaxxe
Motoblouz
Sasie Center
Speedway
Teamaxe
Other Store
Store Name Other 1
*
Please submit your proof of purchase 1:
*
Product 2:
*
Please Select
Freecom 2X DUO
FREECOM 2X DUO DAFY
Freecom 4X DUO
FREECOM 4X - DUO DAFY
PACKTALK EDGE DUO DAFY
Packtalk EDGE ORV DUO
PACKTALK NEO DUO DAFY
Packtalk EDGE DUO
Packtalk NEO DUO
Packtalk PRO
Spirit DUO
SPIRIT DUO DAFY
SPIRIT HD DUO
SPIRIT HD DUO DAFY
Serial No 2:
*
Serial No 2 2:
*
*for DUO pack only, for PACKTALK PRO single, please input the same serial number twice
Date of Purchase 2:
*
DD/MM/YYYY
Purchase Price 2:
*
Store & City 2:
*
Please Select
Cardo online
Cardo Systems Online
DAFY moto
Maxxess
Motoaxxe
Motoblouz
Sasie Center
Speedway
Teamaxe
Other Store
Store Name Other 2
*
Please submit your proof of purchase 2:
*
Product 3:
*
Please Select
Freecom 2X DUO
FREECOM 2X DUO DAFY
Freecom 4X DUO
FREECOM 4X - DUO DAFY
PACKTALK EDGE DUO DAFY
Packtalk EDGE ORV DUO
PACKTALK NEO DUO DAFY
Packtalk EDGE DUO
Packtalk NEO DUO
Packtalk PRO
Spirit DUO
SPIRIT DUO DAFY
SPIRIT HD DUO
SPIRIT HD DUO DAFY
Serial No 3:
*
Serial No 2 3:
*
*for DUO pack only, for PACKTALK PRO single, please input the same serial number twice
Date of Purchase 3:
*
DD/MM/YYYY
Purchase Price 3:
*
Store & City 3:
*
Please Select
Cardo online
Cardo Systems Online
DAFY moto
Maxxess
Motoaxxe
Motoblouz
Sasie Center
Speedway
Teamaxe
Other Store
Store Name Other 3
*
Please submit your proof of purchase 3:
*
Product 4:
*
Please Select
Freecom 2X DUO
FREECOM 2X DUO DAFY
Freecom 4X DUO
FREECOM 4X - DUO DAFY
PACKTALK EDGE DUO DAFY
Packtalk EDGE ORV DUO
PACKTALK NEO DUO DAFY
Packtalk EDGE DUO
Packtalk NEO DUO
Packtalk PRO
Spirit DUO
SPIRIT DUO DAFY
SPIRIT HD DUO
SPIRIT HD DUO DAFY
Serial No 4:
*
Serial No 2 4:
*
*for DUO pack only, for PACKTALK PRO single, please input the same serial number twice
Date of Purchase 4:
*
DD/MM/YYYY
Purchase Price 4:
*
Store & City 4:
*
Please Select
Cardo online
Cardo Systems Online
DAFY moto
Maxxess
Motoaxxe
Motoblouz
Sasie Center
Speedway
Teamaxe
Other Store
Store Name Other 4
*
Please submit your proof of purchase 4:
*
Product 5:
*
Please Select
Freecom 2X DUO
FREECOM 2X DUO DAFY
Freecom 4X DUO
FREECOM 4X - DUO DAFY
PACKTALK EDGE DUO DAFY
Packtalk EDGE ORV DUO
PACKTALK NEO DUO DAFY
Packtalk EDGE DUO
Packtalk NEO DUO
Packtalk PRO
Spirit DUO
SPIRIT DUO DAFY
SPIRIT HD DUO
SPIRIT HD DUO DAFY
Serial No 5:
*
Serial No 2 5:
*
*for DUO pack only, for PACKTALK PRO single, please input the same serial number twice
Date of Purchase 5:
*
DD/MM/YYYY
Purchase Price 5:
*
Store & City 5:
*
Please Select
Cardo online
Cardo Systems Online
DAFY moto
Maxxess
Motoaxxe
Motoblouz
Sasie Center
Speedway
Teamaxe
Other Store
Store Name Other 5
*
Please submit your proof of purchase 5:
*
Where did you find out about our promotion ?
Social Media
Print Magazine
E-newsletter/ Emailer from Retailers
In Store : Poster, Display , other marketing materials
Store Staff
From friends or family
Others:
Which brand intercom have you used before?
I haven’t used intercom before
Cardo
Sena
Midland
Interphone
Other brands
Did this cashback promotion speed up your buying decision?
YES
NO
*
I confirm that I have read and accept the
Terms and Conditions
of this promotion.
If you wish to receive information on further promotions, put a tick in the box.
If you wish to unsubscribe from receiving marketing materials, please contact us at
cardo-unsubscribe@promotion-support.com
For queries regarding claims please contact us at:
cardo@promotion-support.com