Onewheel+ XR Submission Page

Please enter as much information as possible as it will help the Law Offices of Connor W. Olson to evaluate your potential claim. If information is missing, a representative may follow up with you directly to obtain the necessary information.

Your Information

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Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

XR information

Serial Number *

Date Purchased (MM/DD/YYYY) *

Purchased From *

Please Describe Any Issues With XR *

Mileage of XR When Issue First Appeared *

Current XR Mileage *

Repair information

Name *

Have You Sent Your XR in for Repairs? *

Was Your XR Repaired Under Warranty? *

If No, Did Future Motion Explain Why? *

additional comments

Any Additional Comments or Questions *

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