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 five days before departure ______________
If the balance due is not paid five 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.
