Motorbike Rental Intake Form NPPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Customer Name *FirstLastEmail Address *WhatsApp Number *Thai Phone NumberOther ContactHotel Name *TERMS AND CONDITIONS *Open Monday to Saturday 9am to 6pm. Sundays 10am to 5pm… 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 closeRental charge is based on 24 hour limit. Can pay ฿50 per hour for extra time. ฿300 service fee for returning bike outside of working hoursNO REFUNDS FOR EARLY RETURNS – PLEASE PLAN ACCORDINGLYInternational Motorbike Driving Permit is required at police checkpoint. ฿500 to ฿1,000 Fine if you do not have. Please check your email for more tips and advice how to save some moneyFuel is not included. Return at the same level as received. Can pay us ฿50 per bar or ฿100 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. Maximum I pay is the security deposit / Caution AmountI 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… ฿300 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 mechanicMotorbike is NOT to leave Phuket Island – ฿5,000 FineSignature – I HAVE READ THE TERMS AND CONDTIONS FOR RENTING BIKE Clear SignatureNO REFUNDS FOR EARLY RETURN _—-PLEASE RETURN BIKE DURING REGULAR WORKING HOURS : Mon to Sat 9am-6pm — Sunday 10am-5pm——————————————————————-Start Date *Return / Finish Date *DateTimeNumber of Rental DaysCalculated based on Start and Finish Dates——————————————————————-Type of Bike #1 *Choose Which BikeHonda Click 125ccHonda Lead 125ccYamaha Filano 125ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 150ccHonda ADV 160ccHonda Forza 300cc Older ModelHonda Forza 300cc New ModelYamaha XMax 300ccHonda ADV 350ccGPX Raptor 180ccGPX Gentleman 200ccHonda CBR 300ccHonda CBR 500ccHonda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccCost Per Day #1License Pate #1 *Damage Insurance #1125cc Motorbike – ฿3,000 Security Deposit / Caution150cc Motorbike – ฿5,000 Security Deposit / Caution150cc Motorbike – ฿7,000 Security Deposit / Caution300cc Motorbike – ฿10,000 Security Deposit / Caution350cc Motorbike – ฿15,000 Security Deposit / CautionChoose 1 OptionType of Bike #2Choose Which BikeHonda Click 125ccHonda Lead 125ccYamaha Filano 125ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 150ccHonda ADV 160ccHonda Forza 300cc Older ModelHonda Forza 300cc New ModelYamaha XMax 300ccHonda ADV 350ccGPX Raptor 180ccGPX Gentleman 200ccHonda CBR 300ccHonda CBR 500ccHonda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccCost per day #2License Pate #2Damage Insurance #2125cc Motorbike – ฿3,000 Security Deposit / Caution150cc Motorbike – ฿5,000 Security Deposit / Caution150cc Motorbike – ฿7,000 Security Deposit / Caution300cc Motorbike – ฿10,000 Security Deposit / Caution350cc Motorbike – ฿15,000 Security Deposit / CautionChoose 1 OptionType of Bike #3Choose Which BikeHonda Click 125ccHonda Lead 125ccYamaha Filano 125ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 150ccHonda ADV 160ccHonda Forza 300cc Older ModelHonda Forza 300cc New ModelYamaha XMax 300ccHonda ADV 350ccGPX Raptor 180ccGPX Gentleman 200ccHonda CBR 300ccHonda CBR 500ccHonda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccCost per day #3License Pate #3Damage Insurance #3125cc Motorbike – ฿3,000 Security Deposit / Caution150cc Motorbike – ฿5,000 Security Deposit / Caution150cc Motorbike – ฿7,000 Security Deposit / Caution300cc Motorbike – ฿10,000 Security Deposit / Caution350cc Motorbike – ฿15,000 Security Deposit / CautionChoose 1 OptionType of Bike #4Choose Which BikeHonda Click 125ccHonda Lead 125ccYamaha Filano 125ccYamaha Aerox 155ccYamaha Nmax 155ccHonda PCX 150ccHonda PCX 160ccHonda ADV 150ccHonda ADV 160ccHonda Forza 300cc Older ModelHonda Forza 300cc New ModelYamaha XMax 300ccHonda ADV 350ccGPX Raptor 180ccGPX Gentleman 200ccHonda CBR 300ccHonda CBR 500ccHonda CB500XKawasaki Vulcan 650ccSuzuki VStrom 650ccCost per day #4License Pate #4Damage Insurance #4125cc Motorbike – ฿3,000 Security Deposit / Caution150cc Motorbike – ฿5,000 Security Deposit / Caution150cc Motorbike – ฿7,000 Security Deposit / Caution300cc Motorbike – ฿10,000 Security Deposit / Caution350cc Motorbike – ฿15,000 Security Deposit / CautionChoose 1 Option——————————————————————-# of Rental DaysCost Per Day TotalBike #1 + Bike #2 + Bike #3 + Bike #4 License ——————————————————————- PU Total Rental PriceCalculated based on Rental Days and Cost Per DayAdditional FeesTotal 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: 650 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 OneMarkDavidAofJentomMeiSinSteveWinnSanWI or PUWIPUAdditional NotesSubmit
