CYCLE BOOKING FORM

YOUR ADDRESS

surname * first name* phone : Address Fax : Postcode Town : Email *

YOUR HOLLIDAY ADDRESS

Phone Address Postcode Town

Type of cycle

CHILDREN & ADULTS CHILD 12 - 14 - 16 p Bike for 2 to5 years ADULT Mono and eco Mixte adult kike 1 gear CHILD20 & 24p Bike for 6 to 8/10 years 5/6 speed Classic adult bike with 5/6 gears Kid trailer Bike plugged on adult bike. For kid VTT VTC Mountain Eco Mountain bike simple model Luggage trailer For your kids, luggage, ou even dog Mountain bike with front suspension Mountain bike with front suspension Family Bike Mixt adult bike with front baby seat DIVERS Tandem Double seats bike Mountain bike with all susp Mountain bike withe front & rear suspension ACCESSORIES Basket Shopping basket. Fixed in front of the bike Helmet The safety for children and adult Child seat For children. 23kg max

Hire time Number of day(s)   from (JJ/MM/YY) (start of rent) to (JJ/MM/YY) (end of rent)

DELIVERY
dou you want to be delivery ?	Yes	No
free for hire period of 1 week or more on the island of Oléron

YOUR PAYMENT

for all reservation, please return 50 €. please post your check at 17 loisirs.

I agree to receive, by e-mail, information from your company.

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