Reservations

For your reservations please fill in the form below or download this document and Fax it.

Reservation Request
Please fill out this form, Print it and Fax it to: 011 599 544 2854
Reservations will be confirmed within 48 hrs.Your credit card will be charged for $150 per reserved bike.
This amount will not be reimbursed for cancellation occuring within 15 days of scheduled pick-up
Personal information
Name:
Address:
City:
State:
Zip Code:
Phone :
Email:
Motorcycle Licence #

Licence Expiration Date
MM/DD/YY

/ /
Rental Information
Motorcycle Type
Number of motorcycles
Pick-up day (MM/DD/YY) / /
Pick-up time
Drop-off day (MM/DD/YY) / /
Deposit information
Credit Card
Credit Card Number
Expiration date (MM/YY) /
Security Number (3 digits on the back of the card)

 

By submitting the reservation, I agree to have my credit card charged for the amount of $150 (one hundred and fifty american dollars) per rented bike corresponding to 1 (one) day rental. This amount will be deducted from my total bill at the end of my Rental Period. This amount will not be reimbursed 15 (fifteen) or less days prior to beginning of my Rental Period.

Signature
No information is sent through this form you need to Print it and Fax it to: 011 599 544 2854 in order to activate your reservation

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