Repair for Tech Lane company employees

Dear employee of a Tech Lane member company
You can request bicycle repair using the form below.

How does it work?

Request your repair before 9h and we try to help you the same day. Repair requested after 9h will be done the following day. After filling in this form, you will receive an e-mail with more information about your repair.
Your bicycle will be repaired at the company address at Tech Lane you enter below.
The repair(wo)man will call you once he or she has arrived. If you are unable to answer your phone or are not present at the agreed time and place, the repair will not be possible and the repair(wo)man will go to the next appointment.
Clearly state what type of repair is needed in the form below. We only offer basic repairs.
You are responsible for paying for bicycle parts if needed. We kindly request to pay by card.

Contact information

First name

Last name

E-mail address

(Mobile) phone number

Where do you want to have your bicycle repaired?

Company name

Company address

Bicycle information

Do you have a service bike, your own or a rented bike?

Service bike

Own or rented bike

What type of bicycle do you have?

What do we need to repair?

Inner tube

Outer tire

Lighting

Gears

Chain

Other (explain below)

If you checked "other" in the last question: clarify what's broken here.

Bike parking