Dollar
USD
1.000
Front
$
141.59999999999934
KES
141.600
Front
KSh
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ROAM AIR
bus
Energy
ROAM HUB
4x4 vehicle
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Roam Air Order Form
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First Name*
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Last Name*
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Email Adress*
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Phone Number*
Stage Location
Company
What county do you operate in?
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Nairobi
Mombasa
Kwale
Kilifi
Tana River
Lamu
Taita Taveta
Garissa
Wajir
Mandera
Marsabit
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Kajiado
Kericho
Bomet
Kakamega
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Bungoma
Busia
Siaya
Kisumu
Homa Bay
Migori
Kisii
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Which motorbike do you currently ride on?
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Bajaj
TVS
Honda
Yamaha
Suzuki
Ranger
Lion
Captain
Dayun
Boxer
Tigers
Other
I don’t drive a motorcycle
What is your average daily income?
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Less than 3000 KES per day
Between 3000 - 5000 KES per day
More than 5000 KES per day
What is your daily average spend on petrol?
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Less than 1000 KES per day
Between 1000 - 1500 KES per day
More than 1500 KES per day
What is your monthly spend on electricity?
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Less than 1000 KES per month
Between 1000 - 2000 KES per month
More than 2000 KES per month
Would you prefer to pick Roam Air or have it delivered to you?
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The Roam Air can be delivered to me within Nairobi Country
I want to pick up the Roam Air at Mkopa Shop Shell City Stadium on Jogoo Rd
I want to pick up the Roam Air at Mkopa Shop Shell Riruta on Naivasha Rd
Do you want to purchase the single battery or double battery Roam Air?
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Single Battery
Double Battery
How would you like to use the Roam Air?
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Private Commuter
Taxi Hailing
Delivery
Commercial
Other
Which of the following do you possess?
I have a Kenyan National ID
I have a KRA pin
I have a smartphone
I have a 3-month M-Pesa statement
I have a TIMS account
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