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.
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
RIDER
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) _____________________________
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: USD300 (For 30-Day Tour = USD700.; 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 172
PRASING POST OFFICE
CHIANG MAI, 50200, 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.
Back to ASIAN MOTORCYCLE ADVENTURES HOME PAGE.
Questions / requests / feedback: info@asianbiketour.com