Bike Hire Direct - Partnership Programme
Expression of Interest Form
Full Name
*
Title
First Name
Last Name
Birth Date
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Day
January
February
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September
October
November
December
Month
2021
2020
2019
2018
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2016
2015
2014
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Male
Female
Address
Address 1
Address 2
Town / City
Department / County
Area Code / Post Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
*
Phone Number
*
-
Country Code
Phone Number
Mobile Number
-
Country Code
Phone Number
In what area are you interested in running a Bike Hire Direct business? (you many pick more than one)
*
Ain
Aisne
Allier
Alpes de Haute Provence
Hautes Alpes
Alpes Maritimes
Ardèche
Ardennes
Ariège
Aube
Aude
Aveyron
Bouches du Rhône
Calvados
Cantal
Charente
Charente Maritime
Cher
Corrèze
Corse du Sud
Haute Corse
Côte d'Or
Côtes d'Armor
Creuse
Dordogne
Doubs
Drôme
Eure
Eure et Loir
Finistère
Gard
Haute Garonne
Gers
Gironde
Hérault
Ille et Vilaine
Indre
Indre et Loire
Isère
Jura
Landes
Loir et Cher
Loire
Haute Loire
Loire Atlantique
Loiret
Lot
Lot et Garonne
Lozère
Maine et Loire
Manche
Marne
Haute Marne
Mayenne
Meurthe et Moselle
Meuse
Morbihan
Moselle
Nièvre
Nord
Oise
Orne
Pas de Calais
Puy de Dôme
Pyrénées Atlantiques
Hautes Pyrénées
Pyrénées Orientales
Bas Rhin
Haut Rhin
Rhône
Haute Saône
Saône et Loire
Sarthe
Savoie
Haute Savoie
Paris
Seine Maritime
Seine et Marne
Yvelines
Deux Sèvres
Somme
Tarn
Tarn et Garonne
Var
Vaucluse
Vendée
Vienne
Haute Vienne
Vosges
Yonne
Belfort
Essonne
Hauts de Seine
Seine Saint Denis
Val de Marne
Val d'Oise
When would you like to start your Bike Hire Direct business?
*
2019
2020
2021
2022
2023
2024
2025
Why are you interested in a Bike Hire Direct Partnership?
*
Who will operate your Bike Hire Direct business?
*
You
Wife
Husband
Partner
Other Family
Friends
Business Partner
Other (Please state in additional information below)
How did you hear about the Bike Hire Direct Partnership?
*
www.bikehiredirect.com
www.dispovelo.com
Facebook
Twitter
Google+
Word of Mouth
The France Show
Living France Magazine
French Property News Magazine
AngloInfo
Other
Additional Information
Your privacy is important to us. We collect, use and process your data according to our 'Privacy Policy'… which can be found at http://bikehiredirect.com/privacy-policy. By submitting this form you confirm your agreement.
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