Alaska Motorcycle Adventures

Alaska Motorcycle Adventures

Rental Application
Renter's Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *
E-mail *
Date of Birth *

Month Day Year
Renter must be 25 years of age or older
Do you have a Motorcycle License or Endorsement on your Driver License? *

Yes No
Renter's Driver License Number *

Driver's License # State/Province Expiration Date
Country of issue *
Current Motorcycle(s) Owned? *
Knowing what you currently ride and your experience helps us choose the best bike for you
How many years have you been riding? *
Approximate miles traveled on motorcycle? *
What is your height? *
Motorcycle Choice #1 *
Motorcycle Choice #2 *
I am requesting permission to take my rental bike into the following area: Check all that apply: *

Alaska only North of Fairbanks as far as the Arctic Circle Sign Alaska & Yukon
Rental Start Date *

Month Day Year
Date
Rental End Date *

Month Day Year
Date
Total number of rental days? *
Count your first and last day of rental
Will you have a passenger?

Yes No
Passenger Name

First Name Middle Name Last Name
Emergency Contact Name and Relationship
Emergency Contact Phone Number
I have read & accept Alaska Motorcycle Adventures' Rental Terms and Conditions *

Yes
I would like to purchase the $6.95 per day SLI insurance in addition to the required $15 per day BLI insurance outlined in the Terms and Conditions *

Yes No
How did you hear about Alaska Motorcycle Adventures? *

Internet Search Instagram Facebook Magazine Ad The Motorcycle Shop Motorcycle Touring Company A.B.A.T.E Friend / Associate Return Renter
What happens next?
1. Submit your application to initiate reservation process for requested dates.
2. Date confirmation and payment information for the $500 USD deposit will be emailed to you upon receipt and verification of application.
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