Motorcycle Tour Booking Form

36 downloads 128422 Views 81KB Size Report
3.2 Will rent a moto. 3.2.1 First choise. BMW F650GS. Honda NC700. HondaTransalp 700. Suzuki VSTROM 650. BMW R1200GS. Honda Varadero 1000.
Motorcycle Tour Booking Form 1. BOOKING

1.1 Tour name__________________ 1.2 Tour start date____/____/_____ 2. RIDING TYPE 2.1 Solo please fill one of the two bands 2.2 Rider/Pillion 2.2.1 Your full name__________________________________________________________________ 2.2.2 Your companion's (on the bike) Full Name___________________________________________ 3. MOTORCYCLE CHOICE 3.1 Will ride own moto 3.1.2 Make_________________Model________________CC_______Year of manufacture_________ BMW F650GS Honda NC700 Honda Transalp 700 Suzuki VSTROM 650 please fill one of the two bands 3.2 Will rent a moto 3.2.1 First choise BMW R1200GS Honda Varadero 1000 BMW F650GS Honda NC700 Honda Transalp 700 Suzuki VSTROM 650 3.2.2 Second choise BMW R1200GS Honda Varadero 1000 indicate number 3.3 No. of luggage-rack panniers wanted_______________________________ 1 (one) 2 (two) 3 (three) 4. RIDING EXPERIENCE 4.1 Years riding_______ 4.2 Distance ridden approx._________________ Km/Miles (circle appropriate) do not fill if pillion (passenger) 4.2 Past Owned Motorcycles (Make/Model)__________________________________________________ 4.3 Current motorcycle (Make/Model)_________________________________________ 4.4 Motorcycle driver's licence number_____________ 4.5 Country issued_______________ 4.6 Expires on (year)_____________ 5.1 Title: Mr/Mrs/Miss (circle appropriate) 5. PERSONAL DATA 5.2 First name___________________________ 5.3 Surname_____________________________ 5.4 Address ____________________________________________________ ______________________________________________________________ ______________________________________________________________ 5.5 Country_______________________________________________________ 5.6 Zip Code_________________________ 5.7 E-mail_____________________________________________________ 5.8 Mobile phone____________________ 5.9 Home phone_________________________________________________ 5.10 Work phone_____________________ 5.11 Occupation_____________________________________________5.12 Birth date _____/______/__________

5.13 Nationality_____________________________________________5.14 Languages spoken _____________________________________ 5.15 Passport number (or ID for EEC countries)____________________________________ 5.16 Passport expires on ______/______/_______ 5.17 Passport issuing country____________________________ 6.1 T-Shirt Size XS / S / M / L / XL / XXL (circle appropriate) 6.2 Smoker (Yes/No) (circle appropriate) 6.PREFERENCES 6.3 Vegeterian? Yes/No (circle appropriate) 6.4 Accommodation: Single room/Double room (circle appropriate-NOTE: single room has supplement) 6.5 Name of the person I want to share the double room with___________________________________________________ 7.EMERGENCY CONTACT 7.1 Title: Mr/Mrs/Miss (circle appropriate) 7.2 First name_________________________________________________ 7.3 Surname_____________________________ 7.4 Address ____________________________ 7.5 Relation with the moto tour participant _____________________ _______________________________________ ___________________________________________________________ _______________________________________ 7.6 Zip code________________ 7.7 Country_____________________________________________________________ 7.8 Mobile phone_________________________ 7.9 e-mail_____________________________________________________________ 7.10 Work phone__________________________ 7.11 Home phone______________________________________________________ I have filled in all the information requested on this booking application for a motorcycle tour. I have read, understand and agree with the Terms & Conditions and agree to sign a release and waiver of liability form before the tour start date. I am also aware that a contract is not in place until the deposit has been paid and receipt acknowledged. Participants Full Name________________________________________

Date____/____/_______

Signature________________________________

Please print, fill in and return by email to [email protected] of FAX to +302102532351. As soon as we receive your booking form we will contact you for the deposit payment arrangement which must be cleared within a week from the arrival of your booking form.