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Motorcycle Rental Booking Form

Please complete all fields, For insurance purposes it may be necessary to make certain security checks on your identity before rental confirmation can take place,  if you are unsure of any details, please contact us for advice.

Rider Details: As shown on your licence

Name:

 

 

Address:

 

 

 

 

Licence No.

 

Held Since

 

Expires

 

Date of Birth

 

Telephone No.

 

Mobile No.

 

Other:

 

Email:

 

Occupation:

 

Employer:

 

Employer’s Address

 

Telephone:

 

 

 

 

 

 

 

 

 

PILLION Details (if applicable):

Name:

 

 

 

Address:

If same as above, please put “SAME”

 

 

 

 

Emergency contact:

 

 

 

Rental Details:

Rentals are calculated over 24 hour periods, beginning and ending in the morning of the dates given. If you wish to return in the afternoon, please count this as one extra day.

Motorcycle

 

Second choice

 

Pick up Date

 

Drop off Date

 

Rental days

 

Pick up city

 

Drop off city

 

Any special requirements, luggage, helmets etc:

 

Payment details:

Amount payable, as quoted

 

By Cheque

Cheque No:

 

By Credit card: Mastercard, Visa, only.

Card No:

 

Expiry date

 

Security code:last 3 digits of signature panel number

 

Issue No: (Switch only)

 

Issue Date:

 
       

Declaration:

I am aware that I will be required to leave a deposit on a credit card to cover insurance and damage excess.

I hold a valid full motorcycle licence and am not subject to any lawful restriction to ride at the time of the rental term.

I am aware that I will be responsible for the motorcycle whilst in my possession and I agree to abide by the hirers terms and the local traffic legislation.

I will be required to show a valid licence, passport, credit card and one further proof of identification.

Signature:

 
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