Alaska Motorcycle Adventures

Alaska Motorcycle Adventures

Rental Application
Renter's Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Date of Birth*

MonthDayYear
Renter must be 25 years of age or older
Do you have a Motorcycle License or Endorsement on your Driver License?*

YesNo
Renter's Driver License Number*

Driver's License # State/ProvinceExpiration Date
Country of issue*
Current Motorcycle(s) Owned?*
Knowing what you currently ride and your experience helps us choose the best bike for you
How many years have you been riding?*
Approximate miles traveled on motorcycle?*
What is your height?*
Motorcycle Choice #1*
Motorcycle Choice #2*
I am requesting permission to take my rental bike into the following area: Check all that apply:*

Alaska onlyNorth of Fairbanks as far as the Arctic Circle SignAlaska & Yukon
Rental Start Date *

MonthDayYear
Date
Rental End Date *

MonthDayYear
Date
Request low seat if available?

Yes
Add a GPS to your rental for $10/day?

Yes
Your rental motorcycle is equipped with side-cases. Add a top-case for $10/day? (available for 1250GS only)

Yes
Will you have a passenger?

YesNo
Passenger Name

First NameMiddle NameLast Name
Emergency Contact Name and Relationship
Emergency Contact Phone Number
I have read & accept Alaska Motorcycle Adventures' Rental Terms and Conditions*

Yes
I would like to purchase the $15.95 per day SLI insurance in addition to the required $15 per day BLI insurance outlined in the Terms and Conditions*

YesNo
How did you hear about Alaska Motorcycle Adventures?*

Internet SearchMotorcycle Touring CompanyFacebookThe Motorcycle ShopInstagramA.B.A.T.EFriend / AssociateReturn RenterOther
What happens next?
1. Submit your application to initiate reservation process for requested dates.
2. Date confirmation and payment information for the $500 USD deposit will be emailed to you upon receipt and verification of application.
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