On-line rental application



for great rides in the heart of Europe.


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 Rider Contact Information

       Driver/Rider Name  
		     Age     Male Female 
    Full Mailing Address   
   Area Code and Tel. no.  
		  Fax no.  
	  E-mail Address   
 Repeat Bosenberg rider?  

Requested Rental Arrangements I intend to ride: I wish rental rate: Pick-up Date to Drop-off Date Alternate Pick-up Date (optional): to Alternate Drop-off Date (optional): Rental Gateway Location Request one of the following makes/models to be reserved: 1st choice model 2nd choice model 3rd choice model (optional) Request rental helmets (extra cost): Request additional optional rental equipment (extra cost): (Based upon availability for our confirmed model) Request tour information packet (extra cost US $165): (airmail delivery - 2 weeks to North America) Request faster tour information packet delivery by: Do you have any comments per your rental request?
Payment Information This application is made based upon this home page which reflects the infor- mation contained in the current Bosenberg rental brochure. I/We have read and understand the terms and conditions governing rental programs and motorcycle rental. As a driver, I am an experienced, responsible, and healthy motorcyclist with a valid motorcycle license for the model displacement size requested. I authorize the rental deposit of US $500 for each motorcycle (long-term rentals of 21 days or more and Can-Am Spyder rentals require a deposit of US$ 1,500) (and tour information packet, if ordered) to be charged on my credit card. Credit Card Number Expiration Date (Month/Year) 3-Digit CVV2 Value (on back of MC and Visa cards after account number) Name as shown on Credit Card

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Copyright © 1996-2017 Bosenberg Motorcycle Excursions Leon A. Heindel GmbH. All rights reserved. Revised April 26, 2017.