Motorbike Rental station Intake Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Customer Name *FirstLast Day per Return Email Address *WhatsApp Number *Thai Phone NumberOther ContactHotel Name *TERMS AND CONDITIONS *International Motorbike Driving Permit is required at police checkpoint. ฿1,000 Fine if you do not have one. Refusal to pay police will result in police confiscating your motorbike. ฿3,000 will be collected from you for us to pick up the motorbike from the police station. Please check your email for more tips and advice how to save some moneyNO REFUNDS FOR EARLY RETURNS – PLEASE PLAN ACCORDINGLYOpen Sunday to Thursda 9am to 8pm. Friday 9am to 6pm… CLOSED SATURDAY. Please return bike during working hours. If you have a tour or excursion or flight planned on the date of your return, please return the day before as you may not be back to Patong in time before we close฿300 service fee for returning bike outside of working hours. MUST BE ARRANGED WITH US IN ADVANCERental charge is based on 24 hour period. Can pay ฿50 per hour for extra time.Fuel is not included. Return at the same level as received. Can pay us ฿70 to ฿100 per bar or ฿150 per Quarter but will be cheaper if you refuel before returningI agree to pay and be liable for all damages done to the motorbike while in my possession regardless of fault. OPTIONAL DAMAGE INSURANCE IS AVAILABLEI agree to pay and be liable for all claims accruing from third parties should an accident occur – Check your email for more tips and instructionsDo NOT park where Red and White painted on the street. Also mind street signs where odd and even days restrict parking if parking overnightALWAYS wear your helmet. It’s the law…฿2,000 fine from police if not wearing helmet… ฿500 Fine for Lost HelmetsYou will NOT be charged for small scratches. You will NOT be charged for any mechanical or electrical issuesDead Battery due to customer error will be charged at ฿1,000 to ฿2,000. TURN OFF IGNITION when parking if you have a keyless bike. Also, do NOT leave key under your seat or keep it in your pocket while you drive… it may fall outTire Punctures are your responsibility. Do NOT drive on a flat tire. Push or call a Mechanic – May be a small nail. ฿150 to ฿200 to patch at mechanicBike MUST be returned in same town as Delivery or Extra fee of ฿300 to ฿3,000Motorbike is NOT to leave Phuket Island – ฿5,000 FineSignature – I HAVE READ THE TERMS AND CONDTIONS FOR RENTING BIKE Clear Signature NO REFUNDS FOR EARLY RETURN _—- PLEASE RETURN BIKE DURING REGULAR WORKING HOURS : Sunday to Thursday 9am-8pm — Friday 9am to 6pm — CLOSED SATURDAY——————————————————————-Start Date *Return / Finish Date *DateTimeNumber of Rental DaysCalculated based on Start and Finish Dates——————————————————————- Type of Bike #1 *Choose Which BikeHonda Click 125ccHonda Scoopy 110ccYamaha Fino 125ccHonda Click 150ccHonda Click 160ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 160ccHonda Forza 300ccHonda Forza 350ccYamaha XMax 300ccHonda ADV 350ccHonda X-ADV 750ccYamaha TMAX 560ccHonda CB150RHonda CRF 300L 300ccKawasaki KLX 230ccHonda CBR 300ccHonda CBR 500ccYamaha MT-07Honda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccYamaha Tenere 700BikeTypeGSCost Per Day #1 *License Pate #1 *Optional Damage Insurance #1No Thank you, I will be responsible for All Damages – ฿0.00125cc Motorbike – ฿1,000.00150cc Motorbike – ฿1,500.00300cc Motorbike – ฿3,000.00500cc Motorbike – ฿5,000.00Choose 1 OptionType of Bike #2Choose Which BikeHonda Click 125ccHonda Scoopy 110ccYamaha Fino 125ccHonda Click 150ccHonda Click 160ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 160ccHonda Forza 300ccHonda Forza 350ccYamaha XMax 300ccHonda ADV 350ccHonda X-ADV 750ccYamaha TMAX 560ccHonda CB150RHonda CRF 300L 300ccKawasaki KLX 230ccHonda CBR 300ccHonda CBR 500ccYamaha MT-07Honda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccYamaha Tenere 700Return Date Bike #2 *Cost per day #2 *License Pate #2 *Optional Damage Insurance Bike #2No Thank you, I will be responsible for All Damages – ฿0.00125cc Motorbike – ฿1,000.00150cc Motorbike – ฿1,500.00300cc Motorbike – ฿3,000.00500cc Motorbike – ฿5,000.00Choose 1 OptionType of Bike #3Choose Which BikeHonda Click 125ccHonda Scoopy 110ccYamaha Fino 125ccHonda Click 150ccHonda Click 160ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 160ccHonda Forza 300ccHonda Forza 350ccYamaha XMax 300ccHonda ADV 350ccHonda X-ADV 750ccYamaha TMAX 560ccHonda CB150RHonda CRF 300L 300ccKawasaki KLX 230ccHonda CBR 300ccHonda CBR 500ccYamaha MT-07Honda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccYamaha Tenere 700Return Date Bike #3 *Cost per day #3 *License Pate #3 *Optional Damage Insurance Bike #3No Thank you, I will be responsible for All Damages – ฿0.00125cc Motorbike – ฿1,000.00150cc Motorbike – ฿1,500.00300cc Motorbike – ฿3,000.00500cc Motorbike – ฿5,000.00Choose 1 OptionType of Bike #4Choose Which BikeHonda Click 125ccHonda Scoopy 110ccYamaha Fino 125ccHonda Click 150ccHonda Click 160ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 160ccHonda Forza 300ccHonda Forza 350ccYamaha XMax 300ccHonda ADV 350ccHonda X-ADV 750ccYamaha TMAX 560ccHonda CB150RHonda CRF 300L 300ccKawasaki KLX 230ccHonda CBR 300ccHonda CBR 500ccYamaha MT-07Honda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccYamaha Tenere 700Return Date Bike #4 *Cost per day #4 *License Pate #4 *Optional Damage Insurance Bike #4No Thank you, I will be responsible for All Damages – ฿0.00125cc Motorbike – ฿1,000.00150cc Motorbike – ฿1,500.00300cc Motorbike – ฿3,000.00500cc Motorbike – ฿5,000.00Choose 1 Option——————————————————————-# of Rental Days# of Rental Days Bike #2# of Rental Days Bike #3# of Rental Days Bike #4Cost Per Day TotalBike #1 + Bike #2 + Bike #3 + Bike #4Total Rental PriceCalculated based on Rental Days and Cost Per DayAdditional FeesCost of Insurance *Bike #1 + Bike #2 + Bike #3 + Bike #4Total to CollectCalculated based on Total Rental Price + InsuranceRefundable Security Deposit / Caution *Baht or Foreign Currency Equivalent or Original PassportPic of Passport * Click or drag files to this area to upload. You can upload up to 5 files. Fuel Level Pic Click or drag files to this area to upload. You can upload up to 5 files. Fuel Level Selected Value: 6 50 Baht per Bar or 100 Baht per quarter for missing FuelLeft Side of Bike Click or drag files to this area to upload. You can upload up to 10 files. Right Side of Bike Click or drag files to this area to upload. You can upload up to 10 files. Agent Name *Choose OneChompooWI or PUWIPUAdditional NotesSubmit
