Important: Availability is subject to approval by SANTAS Motorcycle Rental. You will be notified by e-mail or fax if there is any problem with availability. A confirmation containing your total rental costs and approved pick-up date will be sent by e-mail, so please make sure the information below is accurate.

Full Name
Address
City
ZIP
Country
Email Address
Telephone	Please add your prefix No
Fax:	Please add your prefix No
Driver's License Number
Date of Birth	January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936
Type & No of bikes	Motorcycle ...	0 1 2 3 4 5 6 7
	Moped ....	1 0 2 3 4 5 6 7
	Bicycle  ....	0 1 2 3 4 5 6 7
For How Many Days?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Pickup Location	Choose your pickup location Lefkas town Aktio Airport Preveza Nydri Nikiana
Pickup Date	January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pickup Time	9:00AM 10:00AM 11:00AM 12 NOON 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM
Drop-Off Location	Drop-off location lefkas town Action airport Nikiana Nydri Preveza
Drop-Off Date	January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010
Drop-Off Time	9:00AM 10:00AM 11:00AM 12 NOON 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM
Credit Card Type	Choose One Diners Visa Mastercard
Credit Card Number
Expiration Date	January February March April May June July August September October November December 2013 2014 2015 2010 2011 2012
Name on Credit Card
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Your Tour Booking/Application is not valid unless accompanied by a 20% of total amount deposit.

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SANTAS RENT A MOTORBIKE

LEFKADA 13100 Greece
LEFKAS TOWN Tel : +30 26450- 25250
NΙDRI Tel: +30 26450- 92668
Mob. +30 693 6562525
Fax : +30 26450- 92668