E-Bike Rental Agreement

E-Bike Rental Agreement

Please fill out the form carefully to complete your E-bike rental process.
Customer Information
Full Name*

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

Street Address

Street Address Line 2
SuburbStatePostal Code
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Rental Information
Lease Start Date*

DayMonthYear
Date
Bond (AUD$)
Rent Per Week (AUD$)*
E-Bike Number*
EB-000
Upload Photos of Your Bike*

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Do you have any observations or comments to add?

Yes, I have something to add.
Observations or Notes (optional)

You can use this space to write any observations or agreements discussed with us, or anything you’d like to note about the bike.0/300
Digital Signature*

Clear
I have read the Rental Agreement and the Rental Terms and Conditions, and I agree:
(a) to pay the Rental Charges as shown in the Rental Agreement; and
(b) to be bound by the Rental Terms and Conditions
You are obliged to transfer the specified amount before the pay date to the following account;
I confirm that I have read and agree to the Cool Bikes Terms and Conditions.
Upload Your Passport Photo*

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