rent forma test (java)

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*required fields

PERSONAL DATA Name, SURNAME *
Address (street & city) Country * Telephone Fax E-Mail * No. of persons in your party * START/FINISH DATE & PLACE Start date *

Collecting bicycles FROM


Finish date *

Dropping-off bicycles AT


NUMBER OF RENTAL DAYS BICYCLE TYPE & NUMBER OF BICYCLES TREKKING/HYBRID with 28” size wheels

# of bicycles with standard frame (a crossbar)

;

body or frame size/-s (in cm / inch)
;

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# of bicycles with lady’s frame

;

body or frame size/-s (in cm / inch)
;

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MTB with 26” size wheels

# of bicycles with standard frame (a crossbar)

;

body or frame size/-s (in cm / inch)
;

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# of bicycles with Unisex/”y” shape type of frame

;

body or frame size/-s (in cm / inch)
;

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CITY with 28” size wheels

# of bicycles with standard frame (a crossbar)

;

body or frame size/-s (in cm / inch)
;

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# of bicycles with lady’s frame

;

body or frame size/-s (in cm / inch)
;

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TANDEM – on request. TYPE & NUMBER OF GEARS 21/24/27etc – speed derailleur gears with free wheel 1/3 – Innerhub 5/7etc – speed hub gears with back pedal break EXTRA EQUIPMENT FOR A SURCHARGE

List of standard equipment mostly included free of charge »

Pair of waterproof back panniers, i.e. ORTLIEB Back-Roller www.ortlieb.de or similar (in Klaipeda only)

3 EUR/day x

#

x days

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= EUR

Waterproof handlebar bag, i.e., ORTLIEB www.ortlieb.de or similar (in Klaipeda, Riga & Tallinn only)

2 EUR/day x

#

x days

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= EUR

Child seat (in Klaipeda &, Vilnius, Tallinn only)

2 EUR/day x

#

x days

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= EUR

Trailer-bike (in Klaipeda &, Vilnius, Tallinn only)

6 EUR/day x

#

x days

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= EUR

Bicycle trailer (in Klaipeda & Tallinn only)

6 EUR/day x

#

x days

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= EUR

Special car rack for transport of 1-3 bicycles (not in Riga)

5 EUR/day x

#

x days

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= EUR

TYPE OF PAYMENT FOR THE SERVICES (preferable)
TYPE OF DEPOSIT PAYMENT (preferable)
RENTAL PRICE CALCULATION (delivery/collection & deposit is not included)
bicycle/-s x 12 EUR/day
x

days

%
discount
=
EUR

tandem/-s x 15 EUR/day
x

days

%
discount
=
EUR
Total for extra equipment
EUR
Delivery price
EUR
Pickup price
EUR
Bicycles transportation price from onw place to the other, will be paid at the end
EUR
Bicycles transportation will be paid locally. All fees (rental and tranport fees):
EUR
To pay at start: EUR
To pay at the end: EUR

OTHER SERVICES

REMARKS Special description of the bicycle, height of everyone in your party, number of children, etc.
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Please check your order and fix it if something is wrong.
If all the data is correct click button “SEND”.