Fields with an asterisk (*) next to them are required.
MAKE SURE ALL DATES ENTERED ARE CORRECT OR FORM WILL NOT SUBMIT!
Personal Information:
Name*
Address*
City*
State*
Zip /Country Code*
Country*
E-mail Address*
Day Telephone*
Evening Telephone*:
Fax:
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Bike Desired for Tour*: (First Choice)
(Second Choice*)
Month
Day
Pick-Up Year*
Month
Day
Return Year Month*
Pick Up Time* (Please select time)
Return Time* (Please select time)
Passenger* (Please select yes or no)
Years riding experience*
Type of riding experience* |
Pre-Paid Reservation Guarantee
(Please select yes or no) |
Only reservations that are paid in full will be guaranteed at the above rental rates. Weekly rental rates and Specials are subject to blackout periods and availability. Specials cannot be combined with Daily or Weekly rental rates or combined with other specials or discounts.
All confirmed rental reservations are non-refundable. However, a Harley Motorcycle Rental rain check good for the confirmed rental reservation amount and valid for 1 year will be provided to clients who cancel their reservations.
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Confirm reservation via
Other Information
Tour Operator ID:
Comments:
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Credit Card Information:
Type of Card*
Card Number
CV2 Code
(the three security numbers located on the back of M/C and Visa cards; four numbers on the front of AMEX)
Month Year:
Expiration Date
Cardholder's Name, as it appears on Card*
Cardholder's Address As It Appears On The Credit Card Statment
We will charge your credit card a $100.00 US Dollars non-refundable (will apply toward your rental) deposit to secure your reservation.
If you decide to participate in the guarantee program the full amount of your rental will be charged.
You can also make your reservation by phone at 415-456-9910
If there are any problems with this form submitting:
Contact Us
Reservations taken over the Internet will be confirmed during the next business day.
We will confirm price, date and details either by phone, fax, or e-mail; please let us know your preference.
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