Blue Travel

Reservation Form

EagleRider Motorcycle Rental

Please fill in this form completely, and be as specific as you can. Items marked with an asterisk (*) are required information. You may also fax your Reservation Request to one of our worldwide offices:

USA Toll Free
United Kingdom
  Mr.   Mrs.
*Last Name
*First Name
*City, State & ZIP/Postal Code
Tel. (+ area code)
Fax (+ area code)
*Card Type
*Card Holder
*Card Number
*Expiration Date
This is a legally binding reservation request and I authorize Blue Travel to disclose my personal information to EagleRider. I hereby confirm my rental dates and authorize EagleRider to charge all rental costs including the sales tax to the credit card listed above. I acknowledge that I am the authorized card holder of this account, have read the Terms and Conditions and agree to abide by them.
*Motorcycle Model 1st Choice:
  2nd Choice:
*Pickup Location
*Pickup Date /
*Return Location  One way charges apply.
*Return Date /
*Prepaid Miles
  6.5% Environmental Surcharge and Sales Tax will be automatically added to your credit card balance.
To make a reservation please click on the Send Reservation button above.
THANK YOU for your business!
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Last modified: 01 Jul 2016 12:25