Bike Hire Order Form
| Name: | |
| Email: | |
| Phone: | |
| Delivery Address: | |
| Billing Address: | |
| NUS Card No: | |
| Hire Period: | month(s) |
| Bike Name: | |
| Bike Size: | |
| Helmet (Yes/No): | £15.99/bike |
| Payment Method: | |
| Additional Notes: | |
I acknowledge that the bike is in full working order with no signs of damage; that I will adhear to the Terms and Conditions set out by Student Bike Hire in which I have also signed; that I am aware of the Damage Charges listed by Student Bike Hire; and that I am expected to follow the Highway Code in relation to cyclists.
signed: ______________________________
printed: ______________________________
