Eco Bike Customer Registration & Agreement Form

Eco Bike Customer Registration & Agreement Form
Take Selfie*
Full Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Date of Birth

DayMonthYear
Select A Package*
More about package is in our website
Rent Package Option*
Bike pick up date*

DayMonthYear
Your contract is vaild untill filling up the bike return form while returning the bike.
Primary ID*
Need to Upload selected documents
Upload Copy of Primary ID*

Cancelof
Secondary ID*
Need to Upload selected documents
Upload Copy of Seceondary ID*

Cancelof
By accepting this Agreement's terms and condition sets forth the responsibilities of the Renter for renting the bicycle from ECO BIKE SYDNEY PTY LTD. Please read and review the information below:
Signature*

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