Full Name*

WhatsApp Number / Telp*

Delivery Location (Hotel/Villa)*

Rental Start Date*

Delivery Time*
09:0009:1509:3010:0010:1510:3011:0011:1511:3012:0012:1512:3013:0013:1513:3014:0014:1514:3015:0015:1515:3016:0016:1516:3017:00

Rental Duration (Days)*

Choose Scooter*
—Please choose an option—Yamaha X-Max 250cc 2024–2025Honda ADV 160cc 2024–2025Yamaha N-Max 155cc 2024–2025Honda PCX 160cc 2023–2024Yamaha Filano 125cc 2024–2025Yamaha Fazzio 125cc 2023–2025Honda Vario 125cc 2023–2025Honda Scoopy 110cc 2023–2024Yamaha Gear 125cc 2023–2025Yamaha Lexy 125cc 2023–2024Yamaha N-Max 155cc 2020–2022Honda PCX 155cc 2020–2022Honda Vario 125cc 2020–2022Honda Scoopy 110cc 2019–2022

Qty Scooter*

Helmet Qty*

Additional Note