Please complete the form and click SUBMIT to send it back to us. Please complete ONE form per MOTORCYCLE
CONTACT INFORMATION
Main Contact Name
*
Age
*
Please Select
Under 25
25-34
35-44
45-59
60-69
70 and Over
Date of Birth
*
/
Day
/
Month
Year
Date
Passport Number
*
Pillion Name (If Applicable)
Age
Please Select
Under 25
25-34
35-44
45-59
60-69
70 and over
Date of Birth
/
Day
/
Month
Year
Date
Passport Number
Will the pillion also ride the machine?
Yes
No
This section is for the person making the booking or taking responsibility for the maintenance and condition of the motorcycle, luggage and pillion
Main Address Line 1
*
Main Address Line 2
Main Address Town
*
Main Address County
Main Address Post Code
*
Main Contact Phone
*
Main Contact Mobile
Main Contact Email
*
This information is required for Ferry and Train bookings. Please enter details for the machine that you intend to bring with you. Changes incur a charge (the ferry operator charges for certain types of change).
Motorcycle Manufacturer
*
Motorcycle Model
*
Registration Mark
*
Colour
This section helps us with route planning
Have you ridden in a group of 12-15 bikes before?
*
Yes
No
Please indicate your level of riding experience including any overseas tours (if none, please state - None)
*
Do you have any relevant medical, dietary or mobility issues or requirements? This information is kept in confidence only for the purposes of risk assessment and tour planning and is not disclosed to a third party. If none, please state none
*
Are there any locations that you particularly want to visit or are of particular interest to you?
Tell us about anything else that may be relevant (e.g. motorcycle has a sidecar, own your own Intaride radio handset)
EMERGENCY CONTACT
In the event of an emergency, please provide a contact:
FIRST NAME
*
LAST NAME
*
Emergency Contact Number
*
Contact Email
*
Submit
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