Name:

Address:

City:                                                            State:           ZIP:

Country:             

Home Phone:                               Cell:

Work Phone:                               FAX:

Email:

Age - 25 years or older:  r YES  r NO         Birth Date:   __ / __ / ___

Years of Motorcycle Operation:       Total Miles of Motorcycling:

Current Motorcycle(s) owned:

Motorcycle Endorsed License:  r YES            r NO               License Number:

Your Height:                          Passenger Name:

Motorcycle Choice:  #1                       Choice #2

Rental Dates: Start Date: ___ /___ /___  End Date:___/___/___

            Rental Days:   ___________(include first and last day of rental)

Deposit Paid By: r Check     r Credit Card      r Money Order

Credit Card Type:  r  VISA        r MasterCard                                                                      Card Number: ________   __________ _________  ________

Expires:  ____ / _____ Signature:  ___________________

·         Send application and $250.00(US) reservation deposit to secure requested dates.  Confirmation of dates and additional information will be mailed to you upon receipt of completed application.

    Total rental amount (less deposit) due 45 days before motorcycle pickup.

   I have read the FAQ's and agree to abide by them as well as the  terms of the Cancellation Policy:  Cancellations must be received in writing and are refunded on a prorated basis as follows:  60+ Days Prior to arrival a  $100.00 Cancellation Fee is charged.  30 days prior 75% of the rental fee is refunded.  14 days prior 50% of the rental fee is refunded.  7 days prior 25% of the rental fee is refunded.  Less than 7 days notice and no refund is given.