Booking Form

Let's Skootify

Ride with Convenience
Discount Code
If any
Full Name *

First Name Last Name
Mobile Number *
E-mail
Address *

Unit/ Number

Street Address

Suburb State

Post code Country
Purpose for renting a scooter? *
How many KMs will you ride per week on average? *
Please estimate your weekly usage.
Which city do you want the scooter in?
Please select a preferred location for Scooter Pickup *
Subject to availability
How long do you plan to rent the scooter for? *
Days/Weeks/Months
Which Plan are you interested in? *
Which accessory you want to buy? *
*Our rentals include phone holders and a used helmet. (Note: If you want to use a brand new helmet you can purchase one from us in store). Gloves is for $35 (Can be paid in weekly installments of $5/week or more until paid off), Rain/Winter Jackets are for $50 (Can also be paid on weekly basis of $10/week or more until paid off).
How did you hear about us? *
Who did you speak to? *
Please chose the code for the representative you speak to on the phone to discuss your booking.
Any Special Requests?
When can we see you? *

Day Month Year
Note: No Bookings on Sundays. All bookings should be done within working hours only.
Book a time slot *

: Hour Minutes AM/PM Option
Promo Code *
If any
Our Location:

Skootify Australia PTY LTD
1044A Dandenong Road
Carnegie , Australia 3163
Phone: 1300 451 485
Email: info@skootify.com.au

To secure your scooter please make $50 booking fee* Subject to availability of scooters. If scooters are not available this money will be refunded to you instantly. If you take a scooter, this payment will be added towards your total security deposit due.

AUD 2.2 % surcharge applies. (Surcharge Non-refundable).

Credit Card
First Name	Last Name
Credit Card Number	CVV
Expiration Date	Postal Code

Should be Empty:

Let's Skootify