Bowhead Rogue™ Quote Form Price starts at $12,999.00 USD. Subject to customizations. Please note that components are subject to change based on availability, but overall bike performance is not a:ected. Contact Information Individual Customer/Rider First Name: Last Name: Age: T-shirt size: Extra Large Phone Number: Email: Reseller (For approved Bowhead Resellers only) Resellers, please fill out ALL your company’s information and customer details for EVERY quote submitted! Company Name: Rep’s First Name: Rep’s Last Name: Phone Number: Email: Adaptive Program Organization’s Name: Rep’s First Name: Rep’s Last Name: Phone Number: Email: Ship To: Street Address: City: State/Province: Country: Postal/Zip Code: Shipping Information Reseller Program General Rider’s Information Details will help Bowhead build a bike suitable for your specific rider requirements. Your responses below may initiate a call from one of our team members. What is the reason for purchasing a Bowhead Bike: What is your previous biking experience: How did you hear about Bowhead and our bikes? Website Friend or Word of Mouth Social Media (Facebook, Instagram) Cycling Event (Sea Otter, Crankworks, Dunbar, etc.) Adaptive Foundation (RMA, KASA, Teton, etc.) Reseller Abilities Expo Other Program Options & Accessories Only applicable if you are an adaptive program that will use bike for multiple riders or for programming purposes. Additional Harness & Frame Assembly. This allows programs to change harnesses depending on rider size and preference: Is this a program bike? Select “Yes” if this bike will be used for multiple riders or for programming purposes. Please fill out the “Program Options & Accessories” below: Rogue: Adult to Kids Conversion Kit Including Motor Mounts, Cranks, Leg Loops, and Seat Spacers (Upgrade $699.00 USD) None Rogue: Additional Set of Wheels to Swap Between Kids and Adults. Note: Rogues are designed with a consistent front-to-rear wheel size ratio. If the front wheel is larger, the second set must also have a larger front wheel 27.5" Front Wheel and 24" Rear Wheels including rotors and cassette (Upgrade $1,799.00 USD) 27.5" Wheels Front and Rear including rotors and cassette

None Rogue: Additional Support Options Option 1 Anatomic Information Height (include units of measure): Weight (include units of measure): Type of Injury: If injury is a SCI, include level: Quadriplegic Information If you are a quadriplegic, our quad bar can help you control the brakes and throttle in a variety of ways depending on the level of your injury. Rogue Quad Control Options Grip Selection Regular (Standard) Quad Grips (Upgrade $699.00 USD) Rear Brakes – Select One Reverse Brake – Rear Wheels Only (Upgrade $799.00 USD) Elbow Brake (Upgrade $749.00 USD) Wrist – Only Compatible with Quad...

Rear brake on the right-hand side, front brakes on the Rear brake on the left-hand side, front brakes on the rightleft-hand side hand side Wheel Size 24" Front, 24" Rear Wheels (Standard) 27.5" Front, 24" Rear Wheels (Standard) 27.5" Front, 27.5" Rear Wheels (Upgrade, $399.00 USD) 24'' Front, 20'' Rear Wheels (Kids Size) Tires – All 3pcs Continental Mountain King or Comparable (Standard) Continental Kryptotal or Comparable (Upgrade, $349.99 USD) Puncture Prevention Options None Tannus Armour x 3 Wheels (Upgrade $150.00 USD) Tubeless x 3 Wheels (Upgrade $150.00 USD) *Not compatible with 20" wheels...

Metal Component Package (Upgrade $999.00 USD). Includes all parts that are BLUE on the Rogue. Cranks, Footrest Clamps, Linkage, Head Tube, Frame Clamps, Uprights, and more Rogue Accessories/Additions Bowhead Rogue Hauler ($1299.00 USD) Roll Bar ($299.00 USD) Water Bottle Cage ($39.00 USD) Additional Notes Were you referred by an a:iliate of Bowhead? Yes No If yes, please provide the a:iliate’s name: Are you working with a Bowhead sales rep? If so, please select the sales rep below: Cole Bernier Brynne Noble None Describe any special needs or information: