First name
Last name
Email address
Contact number
Motorcycle selected ---BMW - 2023 F750GS SPORTDUCATI - 2014 899 PANIGALE SUPERBIKEDUCATI - 2016 SCRAMBLER ICONHARLEY DAVIDSON - 2022 BREAKOUTHARLEY DAVIDSON - 2020 STREET 500 L.A.M.SHARLEY DAVIDSON - 2018 HERTIAGE SOFTAIL CLASSICHARLEY DAVIDSON - 2022 ULTRA LIMITEDTRIUMPH - 2019 TIGER 800 XRXTRIUMPH - 2022 TIGER SPORT 660 L.A.M.SYAMAHA - 2021 MT-07 L.A.M.S
Pick-up date
Pick-up time AMPM
Return date
Return time AMPM
Helmet required (no charge) YESNO
Gloves required (no charge) YESNO
Jacket Required ($10 per day to a maximum of $50) YESNO
Delivery/Pick-up requested (POA) YESNO
Ride Pack redemption
Other notes (optional)
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