THIS RIDER APPLICATION FORM IS FOR PRINTING OUT ONLY.

If you want to register for a motorcycle tour on-line, go to our on-line RIDER application form ».

To Print out this PILLION APPLICATION form, use your print command in your file menu.

ASIAN MOTORCYCLE ADVENTURE APPLICATION FORM-for RIDERS

RIDER INFO

Given Name __________________  Family Name _____________________________  Middle name, or initial _________

Country of Residence ________________________________  City ____________________________   Postcode ________

Mailing Address _____________________________________________________________________________________

                                  _____________________________________________________________________________________

Age _______  Date of Birth ________________________________  BLOOD TYPE  _________ 

Your Nationality (Country of the passport you will be traveling under)  _____________________________

Passport #                                                       ; Passport issue date:                                                   ;   Passport expiry date:                                                  
  

Your country's of residence Motorcycle License # ________________________________ Expiry Date ________________

            How many years have you had a motorcycle license?  _______  

INTERNATIONAL Motorcycle License # ________________________________ Expiry Date __________________
 

Occupation ________________________________ 

Contact you at home or work? ________ If you want to be contacted at work, what are the best hours: ______________

Work telephone #: Country Code _______  City Code _______  Telephone # __________________  

work FAX #: Country Code _______  City Code _______  FAX # __________________  

HOME  telephone #: Country Code _______  City Code _______  Telephone # __________________

HOME FAX #: Country Code _______  City Code _______  FAX # __________________  

Hand phone _____________________________

ARRIVAL DATE in tour starting city_____________________________ DEPARTURE DATE  _____________________

Arrival flight info;  Carrier, Flight Number(s), time, coming from which city(s)? __________________________________

                                  _____________________________________________________________________________________

EMERGENCY CONTACT PERSON _____________________________ Relationship __________________ 

            Emergency contact person telephone #'s: Country Code ______  City Code _____  Telephone # __________________
 

NECESSARY DOCUMENTS TO INCLUDE WITH THIS FORM

PhotoCOPIES of a)- Driving license of country of residence; b)- International driving license; c)- Passport; 

ORIGINAL: signed Terms & Conditions / Indemnity & Release Form (click to print out document);

Deposit or full payment must accompany this application form before it will be considered.

I certify that all the information I have filled out above is true and accurate.

Riders's signature: _______________________________________ __________________  Date: __________________ 

TOUR PARTICULARS

TOUR SELECTED

Starting motorcycle tour Date:__________________  Ending tour Date: __________________  

Deposit: USD 300 (For 30-Day Tour = USD 700.; Balance due 2 months before trip departure date.

Do you want A.M.A. to make pre and/or post tour room reservations for you in our A.M.A. Hotel? Yes: _____  No: _____ 

        If yes, what dates? __________________  

All payments must be made by T.T. (telegraphic transfer) unless otherwise agreed.

A.M.A. mailing address:

ASIAN MOTORCYCLE ADVENTURES

P.O. BOX 56

CHIANG MAI UNIVERSITY POST OFFICE

CHIANG MAI, 50202, THAILAND

Only upon:

a)- receipt of the completed application(s);
b)- receipt of all additional requested documents;

c)- receipt of the original signed TERMS & CONDITIONS / INDEMNITY & RELEASE FORM

d)- 4 passport-sized photos; e) receipt of the necessary deposits and/or payments;

will A.M.A consider this application and send you a tour confirmation.
 

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Questions / requests / feedback: info@asianbiketour.com