Title

Surname*

Given Names*
Full Postal Address*




Country
Email*
Phone*
Fax
Drivers Licence no.*   
Country of Issue  
State of Issue
Motorcycle licence type

Your age at time of proposed rental
Number of years experience on type of bike you are requesting
Number of years you have held a motorcycle licence

Place, date and time of pick up

Sunshine Coast/Brisbane
Place, date and time of drop off

NOTE: Monday return from 8.30am, Friday pick up until 5.30pm.

 

Choice of motorcycle  
   

Notes, comments or special requests

PAYMENT DETAILS
Total Rental Amount
AU$ Calcutate Rental Amount 
20% (min. AU$50) OF TOTAL RENTAL AMOUNT WILL BE CHARGED TO YOUR CARD TO CONFIRM BOOKING. THIS IS NON-REFUNDABLE. BALANCE AND BOND PAYABLE WHEN PICKING UP YOUR BIKE.

I have read and accept the terms and conditions

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