Registrieren und Lastenräder ausleihen

Mandatory field First name*

Mandatory field Last name*

Mandatory field Date of birth*

Mandatory field Street*

Mandatory field Postal code*

Mandatory field City*

Mandatory field Cell phone number*

Mandatory field E-mail address*

Mandatory field Password (at least 8 characters, an uppercase letter, a lowercase letter and a number)*

Mandatory field Confirmation*

*I have read the Terms and Conditions and accept these.

*I have read the Privacy policy and accept these.

*I authorize the provider to collect payments from my account by direct debit. At the same time I instruct my bank to redeem the direct debit drawn by the company mentioned above and undertake to provide the necessary account funds.

Registrieren für Lastenradverleih HRO-Bike Rostock