Apply an E-Bike for Delivery Purpose Streamline last-mile deliveries with an Electric Bike Please enable JavaScript in your browser to complete this form.1. Your InformationTitleMrMrsMsDrProfessorCaptainColonelHonLadyLordMajorMasterrevSirSisterFirst Name/Given Name(s) *Please enter your First Name/Given Name(s) as it appears on your ID such as Passport or BRP. Check for spellings.Last Name/Surname *Please enter your Last Name/Surname as it appears on your ID such as Passport or BRP. Check for spellings.Date of Birth *Email *We'll email you about your application. We'll also send you important information about your account (including any changes we make) by email.Phone *We may ring or text you if we need to have a chat about your application. We might also send you service-related texts.Is your WhatsApp Phone Number same as above? *YesNoWhatsApp Number *Home Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land IslandsCountrySecure Storage Inside Home Address *I will store the goods in the Home Address provided above, which is classified as: (a) a house, (b) a flat; or, (c) a room; where all external doors and windows are locked when not in use.Do not store in Communal Space *I will not store the goods in communal space, such as (d) a communal hallway; (e) a communal outbuilding where public access could be achieved when not in use.Deposits *Price: £ 100.00Refundable deposits within 7 working days upon return of vehicle providing there is no new damage or other issues.Sign Up Fee *Price: £ 20.00Weekly Rent *Price: £ 40.002. Your Documents2.1. Photo Identification - Passport or Driving Licence (Front and Back) * Click or drag files to this area to upload. You can upload up to 2 files. Upload in .png, .jpg, .pdf format within 10MB. You'll need to upload a photo of one of these documents: 1. Valid Passport 2. Valid UK photocard driving licence [Front and Back] - Take a clear photo of the original ID, no scans, screenshots or photocopies. - Lay the ID flat and try to avoid glare or reflections. - Align the ID with the guidelines on the screen. No details should be hidden or cut off. Do you have a UK Biometric Residence Permit (BRP)? *YesNoBRP Upload * Click or drag files to this area to upload. You can upload up to 2 files. Upload in .png, .jpg, .pdf format within 10MB. You'll need to upload your BRP [Front and Back]. 2.2. Proof of Address - Bank Statement or Council Tax Bill * Click or drag files to this area to upload. You can upload up to 2 files. Upload in .png, .jpg, .pdf format within 10MB. You'll need to upload a photo of one of these documents: 1. UK bank or credit card statement 2. Council Tax bill When uploading statements and bills, make sure that: - the document is addressed to you - the document is dated within the last 4 months - you upload the page that shows your name and address NOTE: If using Council Tax bills, these need to be either for the current billing year and dated within the last 13 months, or next billing year and dated within last 4 months.2.3. Confirm your identity with a photo of yourself holding your ID * Click or drag a file to this area to upload. Upload in .png, .jpg, .pdf format within 10MB. How to take a photo of yourself holding your ID - Take the photo in a room with enough light - Select the highest photo quality on the device you use to take the photo - Hold up the document next to your face. - Make sure both your face and ID are clear on the photo — nothing on the ID can be covered or censored - If your photo is not of high enough quality (sufficiently sharp and not blurry), we will request a better copy. 2.4. Rider Profile * Click or drag files to this area to upload. You can upload up to 5 files. Upload in .png, .jpg, .pdf format within 10MB. You'll need to upload a photo of one of your rider profile if applicable: 3. AppointmentCollection and Delivery Options *In person free pick-up - London - N19 Islington - £ 0.00In person free pick-up - Leicester - LE2 - £ 0.00Courier Delivery (Large Item) - £ 60.00Is the delivery address same as home address? *YesNoDelivery Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land IslandsCountryOwing to the overwhelming interest in E-Bike Rental, we have established a waitlist to ensure an efficient and seamless experience for all. We will contact you in the order your request was received to proceed with the next steps.Estimated CostEstimated payment due upon pickup or delivery of your order£ 0.00Please do not close or refresh this page until you have been directed to a confirmation page.Terms and Conditions *I have read and agreed with the terms and conditions for the 3-month CIRGO Hire Agreement.Hire Terms and ConditionsJoin Waiting List