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Renter(s) Initials
CHICAGO MOTORCYCLE RENTAL, INC.
RENTAL AGREEMENT
THIS AGREEMENT is entered into ____________, 20___ between Chicago Motorcycle
Rental, Inc. (“CMR”) and the “Renter” listed below.
CUSTOMER INFORMATION
PRIMARY RENTER
ADDITIONAL DRIVER
Name: ________________________________
Name: ________________________________
Address : _______________________________
Address : _______________________________
_______________________________________
_______________________________________
Telephone: Home________________________
Telephone: Home________________________
Cell _________________________
Cell _________________________
DL#: ____________________________________
DL#: ____________________________________
State: _______________ Date Issued: ________
State: _______________ Date Issued: ________
Exp. Date: ______________
Exp. Date: ______________
Licensed for Motorcycle? Yes _____ No _____
Licensed for Motorcycle? Yes _____ No _____
CREDIT CARD INFORMATION
Name: __________________________________
Type of Card: Mastercard Visa
Billing Address: ___________________________
Amex Discover Other ___________
________________________________________
Account #:_______-_________-_______-_______
Exp. Date: _____/______ VC: ____________
RENTAL FEES
Motorcycle Rented: Make _______________________ Model _________________
Year: ________ VIN: _______________________________________
CMR agrees to rent the above-described motorcycle to Renter for the following period:
Starting Date: __________________ Time: __________________
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Renter(s) Initials