SportsMotorcycle Hire Booking Form

FILL OUT then PRINT OUT this form,
SIGN IT and FAX it back on 61 7 5448 9859

First name:

State/Territory:

Last name :

 Country: 

Address:

 Email: 

Town/City:

 Phone no.:

Post code :

 

 

1st choice (Bike):

2nd choice (Bike):

Years experience:

Type of bike :

First day of hire:

   

Last day of hire:

   

Riders licence no.:

Licence expiry date:

Riders state AUS:

Riders class:
 

Do you have an International licence?
Yes No

 

  

Int licence no.:

International class:

Int expiry date:

Birth date*:
 


*The Renter must be over 25 years of age and hold an Unrestricted Australian
Motorcycle License or current International Licence.

Helmet size:

 XS S M L XL OWN

   

Jacket size:

 S M L XL XXL OWN

   

Comments or questions:

To make a booking we need your credit card details
and your name above has to match the card!

Credit card type:

 Visa
Mastercard
American Express
Diners Club

Expiry date:

 Month     Year

Credit card number:

    

Name on card:

    
Deposit amount:
(20% of total rental charge minimum $50)

$ Australian dollars

By signing this form you are also indicating
that you have read and accept the
Terms and Conditions of SportsMotorcycle Hire

Card holders signature:

 ................................................................    

FILL OUT then PRINT OUT this form, SIGN IT and
FAX it back on 61 7 5448 9859