DAILY BIKE RENTAL CONTRACT

Today's Date:

Date

First day of rental (if for future reservation)

Date

Hour MinutesAM/PM Option

Full Name:

Choose your ride!

Cruiser Bike 24464

Day Rental

$35.00 Days

Cruiser Bike 24460

Day rental

$35.00 Days
Item subtotal:

Cruiser Bike 24732

Day Rental

$35.00 Days

Cruiser Bike 24360

Day Rental

$35.00 Days

Cruiser Bike 24772

Day Rental

$35.00 Days

Cruiser Bike 24484

Day Rental

$35.00 Days

Cruiser Bike 24756

Day Rental

$35.00 Days

Hybrid Bike

Day Rental-Must 1st coordinate pick up and check availability by calling or texting since it needs to be delivered to one of two pick up locations

$40.00 Days

Hybrid Bike II

Day Rental-Must 1st coordinate pick up and check availability by calling or texting since it needs to be delivered to one of two pick up locations

$40.00 Days

Enter coupon

Subtotal

Tax

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

E mail:

example@example.com

DATE OF BIRTH

( Month / Day / Year )

Place of Residency?

ID NUMBER

(Driver's Licence, Passport, other):

Copy of valid ID with photo

Or Upload Valid Photo ID

Other Notes:

Total (internal)

I'll make sure I'll return the bike(s) and accesories in the same condition as it(they) was(were) handed to me. If Cultura Bicicleta Coop has to invest any money in repairing or replacing the bike(s), in case of an accident, theft or loss, I could be charged its(their) full price on the market. I am also responsible for any lesions, harm or loss I suffer or inflict others or other's property as a consequence of biking.

Signature:

Choose your ride!

IMPORTANT AFFIRMATIONS