SECTION 1: CUSTOMER INFORMATION
Full Legal Name:
Date of Birth:
Age:
Government Issued ID Type: (Please attach an image of the selected)
* Passport (Please Attach Copy)
* Driver’s License (Please Attach Copy)
* National ID (Please Attach Copy)
ID Number:
Country of Residence:
Phone Number (WhatsApp):
Email Address:
Current Address:
Hotel / Resort / Airbnb Name (If Applicable):
SECTION 2: EMERGENCY CONTACT INFORMATION
Emergency Contact Name:
Relationship:
Phone Number:
Email Address:
SECTION 3: RENTAL INFORMATION
Rental Date:
Rental Start Time:
Rental End Time:
Expected Return Date:
Expected Return Time:
Drop off Location:
Location:
Pickup Location:
Same As Drop-Off
SECTION 4: RENTAL SELECTION
TRANSPORTATION
HOURLY RENTALS
* 1 Hour — $20
* 2 Hours — $30
* 4 Hours — $45
* 8 Hours — $55
DAILY RENTALS
* 1 Day — $60
* 2 Days — $100
* 3 Days — $135
WEEKLY RENTALS
* 7 Days — $240
* 14 Days — $465
MONTHLY RENTALS
* 30 Days — $970
* 60 Days — $1880
* Semester (4 Months) — $3635
TOTAL RENTAL COST: $50 + Delivery
SECTION 2: PACKAGE SELECTION
Beach Escape Package — $55
Includes:
* Electric Bike Day Rental
* Cooler Backpack (With Ice & 4 (500ml Water Bottles)
* Dry Bag
Selected
Premium Beach Package — $80
Includes:
* Electric Bike Day Rental
* Cooler Backpack (With Ice & 4 (500ml Water Bottles)
* Backpack Beach Chair
* Dry Bag
Selected
Snorkel Adventure Package — $65
Includes:
* Electric Bike Day Rental
* Snorkel Set
* Cooler Backpack (With Ice & 4 (500ml Water Bottles)
* Dry Bag
Selected
Study Break Package — $60
Includes:
* Electric Bike Day Rental
* Cooler Backpack (With Ice & 4 (500ml Water Bottles)
* Beach Mat
Selected
SECTION 6: DRINK PACKAGE ADD-ONS
* Soda Package — $12 — 6 Sodas
* Energy Package — $18 — 5 Energy Drinks
* Mixed Package — $22 — 2 Waters / 3 Sodas / 3 Energy Drinks
* Beer Package — $20 — 6 Beers
* Alcoholic Beverage Package — $65 — 2 x 750ml Alcoholic Beverages
* Party Package — $85 — 6 Beers / 2 x 750ml Alcoholic Beverages
SECTION 7: FOOD ADD-ONS
* Breakfast Delivery — $30
* Chinese Meal Delivery — $40
* Casual Lunch Delivery — $50
* Restaurant Lunch Delivery — $70
* Dessert Delivery — $22
SECTION 8: SECURITY DEPOSIT
All Bike Rentals Require A Refundable Security Deposit.
* Electric Bike Rental Only $150
* Beach Packages $200
The Security Deposit May Be Used Toward:
* Late Return Fees
* Recovery Fees
* Missing Equipment
* Excessive Cleaning Fees
* Minor Damage
The Security Deposit Is Not A Limit Of Liability.
If Damages Exceed The Security Deposit Amount, The Customer Remains Financially Responsible For Any Additional Costs.
SECTION 9: CUSTOMER ACKNOWLEDGEMENT
By Signing Below, I Acknowledge That:
* I Have Read The Rental Agreement
* I Have Read The Liability Waiver
* I Have Read The Damage, Late Return & Recovery Policy
* I Understand The Security Deposit Requirements
* I Understand That Additional Charges May Apply For Damage, Theft, Loss, Or Recovery Of Equipment
* I Received Equipment Orientation / Safety Briefing
Customer Signature:
Date:
Island Escape Rentals Representative:
Date:
FOR OFFICE USE ONLY
Booking Number:
Bike Number:
Bike Serial Number:
Security Deposit Received: Yes / No
Deposit Amount Collected: $
Rental Payment Received: Yes / No
Payment Amount Collected: $
Condition Photos Taken: Yes / No
Condition Photos Uploaded: Yes / No
Customer Received Equipment Orientation / Safety Briefing: Yes / No
Staff Initials:
Date:
WhatsApp: (721) 588-1107
Thank you for choosing Island Escape Rentals!