San Jacinto - Rental Request

Renter Information

Full Name: *

*

Address

Street Address *

Address continued

City *

State *

Zip *

Contact Numbers

Phone #: *

*( )

* -

Email *

Motorcycle License

License Number *

State Issued *

Expiration Date

Month *

Day *

Year *

Birthdate *

Choose a Motorcycle

Motorcycle Rentals are $100 for each weekday and $160 for each weekend day. Which model are you interested in renting? FLHTCU Ultra Classic® Electra Glide®
FLHX Street Glide®
FLTR Road Glide<®
FLHR Road King®
FLSTC Heritage Softail® Classic
FLSTF Fat Boy®
FXDB Street Bob
XL 1200N Nightster

Starting date *

Number of Rentals Days (Friday to Sunday is 3 days) *

Additional Items

The Loss Damage Waiver is a product sold by Stubbs offered to limit the renter's financial liability for the motorcycle.
Loss Damage Waiver ($20/Day)

Personal Accident Coverage Provides Accidental Death and Accident Medical Expense benefit. Personal Property Coverage protects against damage to personal effects owned by the renter.
Personal Accident/Personal Property ($13/Day)

This acts as you third-party Liability Coverage.
Supplemental Liability Insurance ($11/Day)

Helmets that meet D.O.T. standards are required for rental customers and passengers. Customers may use their own if desired.
Helmet ($0 Flat Rate)

NOTE: Prices displayed do not include sales tax.

Finalize

Payment must be taken to guarantee a reservation. Please input your credit card information. A $50 deposit will be charged to your card and will be refunded at delivery.

Name on Card *

Credit Card Number *

Expiration Date *

Security Code *