E-Bike/Scooter Rental Agreement

COASTAL WHEELS BIKE RENTALS

BIKE RENTAL AGREEMENT ebike/scooter
NAME OF RENTER

First NameLast Name
CHOOSE YOUR RENTAL
NAME OF RENTER

First NameLast Name
CHOOSE YOUR RENTAL
NAME OF RENTER

First NameLast Name
CHOOSE YOUR RENTAL
E-mail
example@example.com
PHONE NUMBER
GENDER
HELMET
BASKET
DATE OF BIRTH (dob)

MonthDayYear
DATE NEEDED

MonthDayYear
DATE RETURN

MonthDayYear
DELIVERY ADDRESS

Street Address (Please Enter Gate Code If Needed)

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Any questions type here or give us a call 850-687-2734
waiver
I have read and agree to coastal wheels terms & conditions
Signature

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Signature

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Signature

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Should be Empty: