First Name
Last Name
E-mail
Mobile phone with country code
Country of residence
Please select your country of residence!
Afghanistan
Albania
Algeria
Argentina
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Australia
Austria
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N/A
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Please select your country
Poland
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Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Venezuela
Vietnam
Yemen
Zimbabwe
Is there a pillion with you?
Motorcycle Damage Insurance (Damage Waiver) For more information please
click here .
Please select your motorcycle damage insurance!
I will select/pay this at rental location
Loss Damage Waiver (LDW Zero): $39 per day. Excess: $0 (you pay no damage)
Loss Damage Waiver (LDW): $29 per day. Excess: $2,500 (you pay up to $2,500 in damage)
No Insurance (some suppliers will not allow this option)
Motorcycle Liability Insurance For more information please
click here .
Please select your motorcycle liability insurance!
Supplemental Liability Insurance (SLI), $29.00 per day. You are covered up to $300,000
No Liability Insurance
I will select/pay this at rental location
Room Bedding Preference
Please select your room-bedding preference!
No bedding preference (easy option for us:)
Must have 1 bed in room (1 rider)
Must have 2 beds in room (1 or 2 people)
Must have 1 bed in room (2 people)
Motorcycle Model Selection #1. For model information please
click here . Not all models are available at all times and locations.
Harley-Davidson® Electra Glide®
Harley-Davidson® Street Glide® Touring Edition
Harley-Davidson® Road Glide® Touring Edition
Harley-Davidson® Road King
Harley-Davidson® Street Glide®
Harley-Davidson® Road Glide®
Harley-Davidson® Heritage Softail® Classic
Yamaha® Super Tenere 1200
BMW® R 1250 GS
BMW R 1250 RT
Motorcycle Model Selection #2 . Must be a differnt option from Selection #1.
Harley-Davidson® Electra Glide®
Harley-Davidson® Street Glide® Touring Edition
Harley-Davidson® Road Glide® Touring Edition
Harley-Davidson® Road King
Harley-Davidson® Street Glide®
Harley-Davidson® Road Glide®
Harley-Davidson® Heritage Softail® Classic
Yamaha® Super Tenere 1200
BMW® R 1250 GS
BMW R 1250 RT
Driver License Number
Driver License Expiry Date. If not applicable please select today's or nearest date.
Date of Birth
Address / Street
Zip code
City
Number of pre hotel nights . Any hotel night(s) in Chicago on or before Friday, September 12, 2025 .
0
1
2
3
4
5
Number of post hotel nights . Any hotel night(s) in Los Angeles on or after Monday, September 29, 2025 .
0
1
2
3
4
5
Driver body-weight (for helicopter flight in Grand Canyon) . If not applicable please enter 0.
Lbs
Kg
St
Pillion body-weight (for helicopter flight in Grand Canyon) . If not applicable please enter 0.
Lbs
Kg
St
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