*required fields
| PERSONAL DATA | Name, SURNAME * |
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Address (street & city) | Country * | Telephone | Fax | E-Mail * | No. of persons in your party * | START/FINISH DATE & PLACE | Start date * | Collecting bicycles FROM |
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Finish date * | Dropping-off bicycles AT |
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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) # of bicycles with lady’s frame ; body or frame size/-s (in cm / inch) |
MTB with 26” size wheels
# of bicycles with standard frame (a crossbar) ; body or frame size/-s (in cm / inch) # of bicycles with Unisex/”y” shape type of frame ; body or frame size/-s (in cm / inch) |
CITY with 28” size wheels
# of bicycles with standard frame (a crossbar) ; body or frame size/-s (in cm / inch) # of bicycles with lady’s frame ; body or frame size/-s (in cm / inch) |
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 | Pair of waterproof back panniers, i.e. ORTLIEB Back-Roller www.ortlieb.de or similar (in Klaipeda only) 3 EUR/day x # x days [include][/include]= EUR |
Waterproof handlebar bag, i.e., ORTLIEB www.ortlieb.de or similar (in Klaipeda, Riga & Tallinn only) 2 EUR/day x # x days [include][/include]= EUR |
Child seat (in Klaipeda &, Vilnius, Tallinn only) 2 EUR/day x # x days [include][/include]= EUR |
Trailer-bike (in Klaipeda &, Vilnius, Tallinn only) 6 EUR/day x # x days [include][/include]= EUR |
Bicycle trailer (in Klaipeda & Tallinn only) 6 EUR/day x # x days [include][/include]= EUR |
Special car rack for transport of 1-3 bicycles (not in Riga) 5 EUR/day x # x days [include][/include]= 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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