LACBC River Ride Rental Form
First Name *

Last Name *

Phone Number *

Height *

Ex: 5'11
Bike Size Requested *

Ex: 56 cm
Bike Type Requested - Urban Commuter or Road *

Urban Commuter will be more upright and comfortable and the road bike will be faster and better for longer rides (36 mile+)

Rental Cost:  {{var_price}} *

If you decide to purchase the bike after you rent it, $75 will be applied to that purchase
Please enter your Credit or Debit Card number: *

The CVC number: *

(3 or 4 digit security number on the back of your card)
The name on your card: *

Your card's expiry month: *

Your card's expiry year: *

Pick up location is
Pure Cycles HQ 
713 N Victory Blvd.
Burbank, CA 91502

Pick Up Time
Monday - Friday, 8am - 6pm

Bike Return
Bike will be due to return to Pure Cycles HQ office in Burbank no later than 1 week after the ride (June 12th). You will be charged for the full bike purchase if bike is not returned on time.