Bike Rental Form
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Name
*
First
Last
Email Address
*
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Phone Number
Bike
*
Model
Size
Quantity
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Add New Bike
Please tell us how tall you are (cm or ft.)
*
WHEN WOULD YOU LIKE TO GO?
*
MM slash DD slash YYYY
WHEN WOULD YOU LIKE TO GO?
*
MM slash DD slash YYYY
Helmet 3€ for the whole rental period
Yes
No
Pedals
SPD 3€ for the whole rental period
SPD SL 3€ for the whole rental period
Look Keo 3€ for the whole rental period
Flat pedals 0€
No pedals 0€
Delivery
Yes
No
Where ?
Zone 1 (Blue) (20€)
Zone 2 (Red) (30€)
Zone 3 (Orange) (40€)
Zone 4 (Green) (60€)
Other
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