Letterkenny Loop Reservation Request – Ottawa Valley Adventures

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Home Phone

Cell Phone

In accordance with Ontario Provincial Law, all eBike riders must be 16.

I verify that all cyclists are at least 16 years of age and agree that government ID will be provided in advance.

Number of Cyclists (Max 5) *

Name: Cyclist #1 *

First

Last

Cyclist #1 eBike Size *

Name: Cyclist #2 *

First

Last

Cyclist #2 eBike Size *

Name: Cyclist #3 *

First

Last

Cyclist #3 eBike Size *

Cyclist #4 *

First

Last

Cyclist #4 eBike Size *

Cyclist #5 *

First

Last

Cyclist #5 eBike Size *

Credit card is required to request reservation. Your credit card will not be charged until reservation is confirmed.

Credit Card *

Card Number

Security Code

Name on Card

Expiration/