| 2010 Adventure Safari |
|
| |
|
| Rider Details |
| Full Name |
|
| Street Address |
|
| Suburb / Town |
|
| State / County |
|
| Country |
|
| Postcode / Zip |
|
| Phone Number |
|
| Mobile Number |
|
| Facsimile |
|
| Email Address |
|
| Motorcycle Drivers License Number |
|
| License Type |
|
| State/Country of license issue |
|
| Motorcycle Manufacturer |
|
| Motorcycle Model |
|
| Motorcycle Year |
|
| T-Shirt Size |
|
| Please describe your level of riding experience, off road. |
|
| |
|
| Other Information |
| Where did you first hear about us (magazines,
friends etc)? |
|
| |
|
| Comments or instructions |
| Please provide any other comments or instructions
that will help us to process your booking |
|
| |
|
Payment and cancellation policy
If cancelling after payment has been received:
- More than 90 days prior to departure date - 75% is refunded.
- Between 90 and 60 days prior to departure date - 50% is
refunded.
- Between 60 and 30 days prior to departure date - 25% is
refunded.
- Less than 30 days prior to departure date - No refund.
No exception to this policy can be made for any reason. Trip
cancellation and travel insurance is strongly recommended.
|
| Payment Details |
|
|
OTHER COSTS: Fuel, accommodation, food and
drinks (other than provided at the Welcome and Farewell Events)
and all out of pocket expenses are the responsibility of the participant.
|
| I accept the terms set out in the Acknowledgment
of risk and release of liability document [Document Here] |
| Riders name |
|
| I accept liability |
|
| Security Code |
 |
| Insert Security Code |
|
