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Rentals Reservation Form

Please completely fill out the form and click on submit at the bottom of the page.

All fields with * are required, however, the more information you provide, the less time it will take at the counter processing your request when you come to pick up your bike.

Reservations are valid upon Orlando Harley-Davidson’s confirmation.

* First Name:
* Last Name:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* Date of Birth: format: (dd/mm/yy)
* Home Telephone:
* Day time/Cell Phone:
Fax:
* E-mail Address:
* Credit Card Type:
* Credit Card Number:
* Credit Card Expiration: format: (mm/yy)
Drivers License Number:
Expiration Date: format: (dd/mm/yy)
Licensed State:
* Requested model 1st Choice:
Requested model 2nd Choice:
* Pickup Date:
* Drop-off Date:
* Pickup Location:
Damage Waiver/Insurance Option:
Performance Package $49.99/day $1000 deposit
Renter responsibility limited to first $1000 of damage to motorcycle. $300,000 of liability coverage. $2500 of personal accident and $1500 of personal property insurance.
Enhanced Damage Waiver $29.99/day $1000 deposit
Renter responsible for first $1000 of damage to motorcycle. No liability or other insurance coverage provided.
Damage Waiver $19.99/day $2000 deposit
Renter responsible for first $2000 of damage to motorcycle. No liability or other insurance coverage provided.
No Additional Coverage $3000 deposit
Renter responsible for all damage to the motorcycle.
How did you hear about us:
Comments:
I wish to receive further information regarding promotions and services from Orlando Harley-Davidson.
* Yes, I hereby confirm I have read and accept the Terms and Conditions. For Terms and Conditions, please view our Requirements page.

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