Bicycle Brüstop Demo Rental Agreement

Bicycle Brüstop

Demo Reservation Request Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Bike Being Demo'd (See Table Below for Details)*

Instinct P/P C70 (Size Large)Altitude P/P C70 (Size Medium)Altitude P/P A50 (Size Large)Fuel EX 9.7 (Size Large)Fuel EXe 9.7 (Size Med)

When would you like to pick up the bike? (If you want to get the bike asap, please submit the request for the earliest possible time, then call to ask if we can accommodate an earlier checkout).*
Note: when coming to pick up the bike, please plan on being at the shop for 30+ minutes. It takes time to get a bike set up properly for a rider, and to complete the necessary paperwork. Thanks in advance for your patience!
Please verify that you are human*
Should be Empty: