Joelle's Page for Talio Leeds

To be completed by Talio employee:

Bike Model/Number

Additional Bike Model(s)/Number(s)

Battery Serial Number

Additional Equipment Hired: (lock, flex cable, battery key, charger, phone holder, front light, pannier bag)

To be completed by the Hirer(s):

First Name

Last Name

Address

Zip/Postal Code

Helmet for Participant #1 *

Yes

Phone Number

Email Address

I consent for Talio Leeds to use photographs & videos in which I feature for marketing and promotional activities and the range of marketing channels that the company may use.

Yes

Additional Participants Must Fill Out Their Full Name and Check the Helmet Box Below. This will represent a digital signature from said participants

Participant #2 Email Address

Helmet for Participant #2

Yes

Participant #3 Full Name

Participant #3 Email Address

Helmet for Participant #3

Yes

Participant #4 Full Name

Participant #4 Email Address

Helmet for Participant #4

Yes