Rental Booking
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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:
        
Height:    m.   ft. Weight:    Kg.   Lbs.
Please choose a motorcycle:
First choice: Second choice [
info
]: 		Insurance: GPS Navigation System:
Regular [
info
]:         VIP [
info
]:  		Yes [
info
]:         No: 

Dates and Location:
Pick-up: City: Date [
info
]:		 Time [
info
]:
Drop-off: City: Date [
info
]:		 Time [
info
]:
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?:  
                               
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:
  

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