FINN CYCLE RENTAL FORM

    Full Name

    Email

    Date

    Time

    Have you experienced any of the following symptoms within the last 14 days? Check all that apply.

    If Other, please specify:

    Have you or anyone in your household visited an area with ongoing community spread of COVID-19?
         Location:

    Has anyone in your household been sick, or experienced symptoms of COVID-19 in the last 14 days?

    Have you or anyone in your household left the country in the last 14 days?
          Location:

    Credit Card Number

    Expiration Date

    CVC

    DECLARATION

    Comments