Owner name ____________________________________
Address________________________________________
City, State, and Zip Code __________________________
Contact
numbers and best time to call:
Cell __________________________________________
Home _________________________________________
Work _________________________________________
Driver's License Number and State _________________
Bike
Type ______________________________________
Model and Year _________________________________
Length ___________________ Width _______________
Bike
License Plate and State ______________________
Arrival Date and Time ____________________________
Staying at ______________________________________
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Cost of Transport ________________________________
Deposit Amount
(50% of total cost) __________________
Balance Due thirty days before departure
______________
If the balance due is not paid thirty days before departure,
YOU WILL LOSE YOUR DEPOSIT AND YOUR SPACE
When you deliver your
bike for pickup you will be given a copy of the Rider Responsibilities and Liability waiver to acknowledge and sign.
Thank your for choosing Dragonstar for your bike transport needs.
