Student bike rental Thomas More | Verhuur studentenfietsen Thomas More

Application form

Een Nederlandstalige versie van dit formulier vind je hier.

(*): required field

Personal data

Last name: *

Name: *

Student number:

Email: *

Preferably enter a Thomas More email address in this field.

Mobile phone: *

Home address: *

Postal code: *

City: *

Country: *

Address in Belgium: *

Postal code: *

City: *

Bike data

Campus: *

Rental period: *

I wish to pick up the bike on the following date: *

Rental cost (hidden):

Questions and/or remarks: