Shop Name
Shop Phone Number
Shop Email
Shop Address
Select Bike Rental
Rider 1: Name
*
First Name
Last Name
Rider 1: Type of bike
*
Please Select
Santa Cruz Mega Tower $120
Santa Cruz Bronson $120
Santa Cruz Heckler $150
Santa Cruz E bike Bullit $150
Rider 1: Pedals
*
Please Select
I'll bring my own
Flat
SPD
Rider 1: Weight
*
Rider 1: Height
*
Number of riders
*
Please Select
1
2
3
4
Rider 2: Name
*
First Name
Last Name
Rider 2: Type of bike
*
Please Select
Santa Cruz Mega Tower $120
Santa Cruz Bronson $120
Santa Cruz Heckler $150
Santa Cruz E bike Bullit $150
Rider 2: Pedals
*
Please Select
I'll bring my own
Flat
SPD
Rider 2: Weight
*
Rider 2: Height
*
Rider 3: Name
*
First Name
Last Name
Rider 3: Type of bike
*
Please Select
Santa Cruz Mega Tower $120
Santa Cruz Bronson $120
Santa Cruz Heckler $150
Santa Cruz E bike Bullit $150
Rider 3: Pedals
*
Please Select
I'll bring my own
Flat
SPD
Rider 3: Weight
*
Rider 3: Height
*
Rider 4: Name
*
First Name
Last Name
Rider 4: Type of bike
*
Please Select
Santa Cruz Mega Tower $120
Santa Cruz Bronson $120
Santa Cruz Heckler $150
Santa Cruz E bike Bullit $150
Rider 4: Pedals
*
Please Select
I'll bring my own
Flat
SPD
Rider 4: Weight
*
Rider 4: Height
*
Number of rental days
*
Downieville Shuttle, $35.00 each
Number of people
Total Amount
{totalAmount413}
Page 1 Email content
Total amount:
Number of riders
Amount per person
Total Amount
On-screen final output
Email output
Location
Back
Next
Number of rentals needed
Amount per rider
Total amount
Total amount for Rider 1
Total amount for Rider 2
Total amount for Rider 3
Total amount for Rider 4
Total amount for Rider 5
Total amount for Rider 6
Total amount for Rider 7
Total amount for Rider 8
Total amount for Rider 9
Total amount for Rider 10
Total amount for Rider 11
Total amount for Rider 12
Total amount for Rider 13
Total amount for Rider 14
Total amount for Rider 15
output for rider 1
output for rider 1
output for rider 3
output for rider 2
output for rider 5
output for rider 2
output for rider 7
output for rider 2
output for rider 9
output for rider 2
output for rider 11
output for rider 2
output for rider 13
output for rider 2
output for rider 15
output for rider 2
sub-total
Total amount page 1
Products Total
Reservation Information
Name
*
Phone #
*
Please enter a valid phone number.
Email
*
example@example.com
Rental start date
*
-
Month
-
Day
Year
48 hours no charge. $20 cancellation fee within 48 hours of start date
Comments
Page 2 email content
Request Status:
*
Please Select
Approve
Deny
Comments:
*
Submit
Should be Empty: