Paradise Moto Rentals Honda Navi Motorcycle Rental Contract
Renters Name
*
PMR Rep
*
Susanna-PMR
RJM-PMR
Form of payment
*
Fareharbor
BCR-CC
Cash
Partial Pay
Other
Total Paid
*
Vehicle ID #
*
NVB59
NVG05
NVO40
NVO94
NVR35
NVR73
NVY49
NVY99
Qty
*
Rental Date
*
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Month
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Day
Year
Date
Rental Time
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Minutes
AM
PM
AM/PM Option
Return Date
*
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Month
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Day
Year
Date
Return Time
*
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Minutes
AM
PM
AM/PM Option
Amount Due
Rental Days
*
Location
*
Tamarindo
Hacienda Pinilla
Playa Negra
Other
Local Address (Villa/Hotel Name)
*
Villa/Hotel Phone
-
Area Code
Phone Number
Driver's License Country
*
Driver's License State
*
Driver's License No
*
Home Address
City
State
ZIP Code
Cell/Whatsapp Number
*
-
Country Code
-
Area Code
Phone Number
Email
*
example@example.com
CC No
*
Exp
*
CSV
*
Billing Zip Code (US only)
Notes
Moto Type
Plate Number
*
NAVI-685859
NAVI-673405
NAVI-703640
NAVI-671794
NAVI-673335
NAVI-703973
NAVI-703749
NAVI-671799
Full Level
*
Full
3/4
1/2
1/4
Empty
Rental Rate Per Day
*
Total Rental Amount
*
Security Deposit Authorization Amount
*
Rep
Type a question
Date
*
/
Month
/
Day
Year
Date
PMR Rep
*
RJM-PCR
Susanna-PCR
Kim-PCR
New-PCR
Preview PDF
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