BIKE RENTAL CONTRACT
Date:
*
/
Month
/
Day
Year
Date
CHANGE & FILL ONLY IF THIS IS A FOR FUTURE RESERVATION. Please choose the time & day for pick up:
-
Month
-
Day
Year
On Sundays we have bikes available with a minimum of 24 hr previous coordination.
Hour Minutes
AM
PM
AM/PM Option
Full Name:
*
Phone Number
*
Please enter a valid phone number.
E mail:
*
example@example.com
STATE OF RESIDENCY
*
ID NUMBER
*
(Driver's Licence, Passport, other):
Copy of valid ID with photo
*
DATE OF BIRTH
*
( Month / Day / Year )
Bikes
*
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( X )
Single speed cruiser
24471
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
24451
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
25059
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
24736
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
24360
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
24732
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
24472
$
5.00
Hours
1
2
3
4
5
6
7
8
Single speed cruiser
24756
$
5.00
Hours
1
2
3
4
5
6
7
8
Hybrid bike 2
Must 1st coordinate pick up and check availability by calling since it needs to be delivered to one of two pick up locations
$
7.00
Hours
1
2
3
4
5
6
7
8
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Notes/ Comments
IMPORTANT AFFIRMATIONS
Clicking the box certifies that you agree with each of the following, necessary to go forward with the rental agreement.
*
I certify that my health conditions are optimum and adequate, and that I am capable of riding a bicycle with total control and awareness of my senses.
*
I am responsible for being respectful towards all Puerto Rican norms, rules and laws regarding transit and transportation, applicable to all people conducting a vehicle, and also, the rights and duties directed specifically towards cyclists.
*
I will always be careful when riding close to other people using the sidewalk or crossing the street. It is my responsibility to lower my speed and keep reasonable distance from pedestrians.
*
It is my responsibility to be careful when choosing where to park and lock the bike(s). I'll make sure the lock is closed correctly and positioned properly around a strong and stable surface, or bicycle dock.
*
I'll make sure I'll return the bike(s) in the same condition as it(they) was(were) handed to me. If Cultura Bicicleta Coop has to invest any money in repairing or replacing the bike(s), in case of an accident, theft or loss, I could be charged its(their) full price on the market. I am also responsible for any lesions, harm or loss I suffer or inflict others or other's property as a consequence of biking.
*
I understand that all of the information I am providing will solely be used for purposes directly related to this transaction.
*
I agree that this contract is governed by Puerto Rican laws, rules and regulations.
Signature:
*
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Hora/ Día de Fin
Número de tablilla bicicleta
Liste todas si es mas de una (i.e. 24459, 25112)
Should be Empty: