Name (as shown on passport)
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Male/Female
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Home address (inc. postcode)
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Tel. no. day (inc. country and city code)
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Tel. no. evening (inc. country and city code)
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Best time to contact you
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E-Mail address
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Date of birth
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Motorcycle License no (must have full motorcycle license)
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Country of license issue
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Passport no
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Passport place of issue
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Passport issue date
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Passport expiry date
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Name of person to contact in case of emergency
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Emergency contact tel. no
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| TOUR CATEGORY; |
| *ON-ROAD |
| [1] 6 Day Maehongson Loop Tour |
| |
| |
| [2] 8 Day Northern Border Run Tour |
| |
| |
| [3] 10 Day Grand Northern Road Tour |
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| *OFF-ROAD |
| [4] 6 day Mountain & Jungle Endures Tour |
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| [5] 8 Day Enduro For Beginners Tour |
| |
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| [6] 10 Day Mountain & Jungle Enduro Tour |
| |
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| [7] Tailor Made Tours |
| |
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| OAD |
| OAD |
| □/£699 per rider |
| □ £450 per pillion |
| |
| □/£875 |
| □ £599 per pillion |
| |
| □/£1099 |
| □ £699 per pillion |
| |
| *OFF-ROAD |
| □/£699 |
| □ £450 per pillion |
| |
| □/£875 |
| □ £599 per pillion |
| |
| □ £1099 |
| □ £699 per pillion |
| |
| □/Send enquiresto |
info@adventuremotorbiketours.com |
|
Tour starting date
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T-shirt size
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Single room supplement: Y/N
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Health (please indicate if you are suffering from any medical condition or are taking
any medication that could affect your
ability to ride a motorbike)
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Diet (Do you have any particular dietary requirements)
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How many years have you been riding?
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How many miles have you ridden in the last year
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Motorbike ridden at home (manufacturer, model,
engine size)
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Off-road bike experience
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| (if applicable): |
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*Total beginner
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*Intermediate |
*Advanced |
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Where did you hear about Adventure |
| Motorbike Tours? |
| |
Internet search engine |
Magazine article |
Magazine advert |
Friend recommendation |
Other |
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