Bike Rental - Reservation Form

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Driver Information Form

Full Name of Hirer :  

Date of Birth :

 
Overseas Address :  
Telephone Number :  
Fax Number :  
Mobile Number :  
E-Mail Address :  
     
Address in Cyprus :  
     
Nationality :  
Passport No. :  
Issue Date :  
Expiry Date :  
     
Driving Licence No. :  
Issue Date :  
Expiry Date :  
     
Arrival Date :  
Arrival Time :  
Arrival Flight Number :  
Departure Date :  
Departure Time :  
Departure Flight Number :  
     
Vehicle Category :   KYMCO AGILITY 16
Vehicle Date From :  

Time of Delivery :  
Location of Delivery :  
Vehicle Return Date :  
Vehicle Return Time :  
Location of Return :  
     
ADDITIONAL DRIVER    
Full Name :  
Date of Birth :  
Driving Licence No. :  
Issue Date :  
Expiry Date :  
     
SPECIAL REQUIREMENTS    
Excess Waiver EUR 300
(optional EUR 2 per day):
  Yes    No
Tyres, & Windscreen & Oil Sump
(optional EUR 2 per day):
  Yes    No
Baby Seats (Free of Charge):  
Child Age :  
Full Tank of Fuel on Delivery
(If YES, we will charge you and return it empty, if NO, we deliver it as it comes and return it back at the same level:
  Yes    No