Rental Booking

Rider:

First name:

Email:

Last name:

cell phone:

Address:

Alternate phone:

City:

Passport Number:

ZIP:

Driver's license number:

State/Province:

Date of birth:

year: 19

Country :

Occupation:

Other country:

Languages:

English Spanish German French

Height:

m. ft.

Weight:

Kg. Lbs.

Please choose a motorcycle:

First choice:	Second choice [ ]:	Insurance:	GPS Navigation System:
		Regular [ ]: VIP [ ]:	Yes [ ]: No:

Dates and Location:

There is a 200 Euro surcharge for one-way rentals (300 Euros for Lisbon).

Riding Experience:

Years of riding:

Riding last year:

km miles

Typical day ride distance:

km miles

What types of riding have you done?:

Street Sweepers Mountain twisties Track Off-road

Do you own a motorcycle?:	yes no	Model(s) owned?:
Ever rented a motorcycle?:	yes no	Which ompany?:		Where?:

Emergency Contact:

Name:

Tel:

Relationship:

Comments:

How did you find out about us?