Reservation request form

Scooter *

Acceptance date*
:

Departure’s place*

Adresse (si livraison)

Date of return*
:

Place of return*

Adresse (si récupération)

Options
Additional helmet - 3€/day (Limit of 30€)GPS - 14€/day (Limit of 70€)

Last Name*

First Name*

Date of birth*

I certify being at least 20 years old to rent this scooter*

Email*

Phone*

I declare having read, understood and accepted the rental’s general conditions of Club Scooter*

PIAGGIO LIBERTY

50cc

The rent includes:

The Vehicle (good conditions)
A helmet
An antitheft chain
A top-case
Third part insurance
Vehicle’s maintenance
GPS and additional helmet in option

PIAGGIO FLY

125CC

The rent includes:

The Vehicle (good conditions)
A helmet
An antitheft chain
A top-case
Third part insurance
Vehicle’s maintenance
GPS and additional helmet in option

PIAGGIO X ÉVO

125CC
Piaggio X Evo 125cc

The rent includes:

The Vehicle (good conditions)
A helmet
An antitheft chain
All risks insurance
Vehicle’s maintenance
GPS and additional helmet in option

MP3 YOURBAN

300CC

The rent includes:

The Vehicle (good conditions)
A helmet
An antitheft chain
A top-case
All risks insurance
Vehicle’s maintenance
GPS and additional helmet in option

BMW C ÉVOLUTION

ELECTRIC

The rent includes:

The Vehicle (good conditions) with its charging device
AutoLib charging card
A helmet
An antitheft chain
A top-case
All risks insurance
Vehicle’s maintenance
GPS and additional helmet in option

Suzuki BURGMAN
650CC

The rent includes:

The Vehicle (good conditions)
A helmet
An antitheft chain
A top-case
All risks insurance
Vehicle’s maintenance
GPS and additional helmet in option

Reservation request form