Rental application



for great rides in the heart of Europe.

Please print out the motorcycle rental application form below, fill out, sign and date, and either fax or airmail. Our fax number is (011)+49-671-67153. Additional instructions are below the form.

Rider/Driver Name ____________________________________________ Age _____

Address ______________________________________________________________

City and State or Province__________________________________________________

Country and ZIP or Postal Code __________________________________________________

Area code and Tel. no. for day ____________________ / at night ___________________

Fax no. ______________________________________

E-mail address _________________________________

Please check off and complete applicable areas:

I intend to ride: solo ___ with passenger ___

I wish rental rate: Standard ___ All-Inclusive ___

Pick-up Date: ________________ Drop-off Date: _______________

Alternate Pick-up Date: ______________ Alternate Drop-off Date: __________

Gateway Location

Berlin, Germany (BMW) ___

Frankfurt/Main, Germany gateway (BMW, Ducati, Harley-Davidson, Honda, Kawasaki, Triumph and Yamaha) ___

Munich, Germany gateway (BMW and Honda) ___

Milan, Italy (BMW and Ducati) ___

Bern, Switzerland gateway (Aprilia, BMW, Ducati and Honda) ___

Zurich, Switzerland gateway (BMW, KTM, Triumph and Yamaha) ___

I/We request one of the following makes/models to be reserved:

1st choice __________________________________________________

2nd choice _________________________________________________

3rd choice _________________________________________________

If undecided which specific model or make to choose, please check your model style type preferences (1st and 2nd). We will provide a suitable mount based upon your style wishes for your rental use:

Tour ___ Sport-tour ___ Dual-sport ___ Sport ___ Cruiser ___

My/our model displacement size preferences (1st and 2nd) are:

500-700cc _____ 701-900cc _____ over 900cc _____

I/We wish to rent additional riding equipment.

_____ helmet(s) are requested (all rental centers):

Size(s): Small __ Medium __ Large __ Extra-Large ___

Based upon availability for our confirmed model:

tank bag __ top case / trunk / H-D tour pack (if not model feature) __

Based upon availability for our confirmed model:

BMW Navigator or TomTom Rider GPS unit __

I request a tour information packet from the

______________________________________________ tour.

Enclosed is US $165 for airmail delivery (2 weeks to North America).

I request faster tour packet delivery by:

__ DHL Worldwide Express (in 3 days and US $125 extra)

This application is made based upon the current Bosenberg Motorcycle Excursions motorcycle rental program. As a rider/driver, I am an experienced, responsible and healthy motorcyclist with a valid motorcycle license for the model(s) requested.

A deposit of US $500 for each requested motorcycle is enclosed or the credit card authorization signed or bank funds wire will follow.

_______________________________________________________________

Driver/Rider's Signature and Location/Date

I authorize the applicable deposit (and tour information packet, if ordered) to be charged against my credit card organization account.

___ American Express ___ MasterCard ___ VISA ___ JCB

Card Number | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ |

Expiration Date | ______ | ______ | ______ | (Day / Month / Year)

3-digit CVV2 value or 4-digit security no. | __ | __ | __ | __ | (On back of AE/MC/Visa cards after account number)

Name on Card ___________________________________________________

_______________________________________________________________

Credit Card Holder Signature

To reserve your motorcycle rental

Your rental application can be done on-line, by mail or fax. Each bike driver/rider should submit a completed form, but if one person is reserving multiple motorcycles for additional drivers/riders (and providing the rental deposit of US $500 for each motorcycle on one credit card), please insert the additional driver/rider's name(s) and requested models on this form. A deposit of US $500 per motorcycle by personal check, postal money order, credit card authorization or bank funds wire is required to reserve and confirm your model. Reservations are not confirmed until a deposit is received. Reservation inquiries confirmed positively for rentals are held 2 days pending Bosenberg receipt of application and/or deposit. We match your specific make and model wishes with model availability. If possible, list alternate models, displacement size choices, model style type preference and/or alternate time frames. Upon arrival at the rental center the full rental balance amount and the appropriate safety and security deposit is made by use of selected credit cards (American Express, MasterCard, VISA and JCB), traveler's checks or cash. When the undamaged motorcycle is returned, the deposit is fully refunded.

If not already done, please review the sections rental features, rental models, rental terms and conditions and rental rates. Since we have a 2 frame home page, click with your mouse on the rental application frame one time (not on a link) to print or review our Acrobat Reader PDF files page to download our rental application. Insure any special requests are checked-off or filled-in on the application. Our confirmation is sent to you by email (and/or by fax) and we mail your final invoice, EuroRider travel information packet and our 4-page rental brochure. Under 6 weeks, postal money order, certified bank check, credit card authorization or funds wire are preferred. If choosing bank funds wire, please wire to: Bosenberg Motorcycle Excursions c/o Sparkasse Rhein-Nahe am Kornmarkt 5, 55543 Bad Kreuznach, Germany Account/Konto no.: 2824 Bank/BLZ no.: 560 501 80 SWIFT BIC: MALA DE51 KRE IBAN: DE06 5605 0180 0000 0028 24

Bosenberg Motorcycle Excursions Mainzer Str. 54 55545 Bad Kreuznach Germany Tel. (011)+49-671-67312 Fax (011)+49-671-67153 E-mail: bme@bosenberg.com www.bosenberg.com

Copyright © 1996-2008 Bosenberg Motorcycle Excursions Leon A. Heindel GmbH. All rights reserved. Revised March 5, 2008.