Please complete and submit the following form.
We will contact you regarding the NZD 200.00 deposit for each bike.
Please also note that each participant must complete a form.

* It is essential that you fill out all fields marked with an asterix *

This is a booking page - comments or questions can be sent to us from the faq page or via email

 

CONTACT DETAILS
*Name:
(as shown on passport)
*Address:
*Phone Number: - -
Intl Code - Area Code - Phone
Fax Number: - -
Intl Code - Area Code - Fax
email:
*Date of Birth . .
  RENTAL DETAILS
*Tour/Rental Type:
Pick up Date: - -

Pick up Location:

Return Date:

 - -
Drop off Location:
  RIDER DETAILS
*Number of years riding experience:
*Average mileage over past two years:
*Countries in which you have ridden :
Riding or Saftey courses you have undertaken:
Motorcycle/s you currently own:

*List any convictions or
traffic violations - include date and details


If no convictions type 'NONE'
*Drivers licence Number:
*Country of issue

 

EMERGENCY CONTACT DETAILS
Next of kin

*Name:
*Address:
*Phone Number: - -
Intl Code - Area Code - Phone
Fax Number: - -
Intl Code - Area Code - Fax
email:
Click on the links :

 

*I have read, understand and accept the terms and conditions, waver and release.


 

By submitting this form I hereby declare that the information contained on this application is true and correct

We will contact you and ask you to sign a printed copy of this form and enclose the deposit prior to confirmation of your booking.