HC Travel Full Screen Booking Form

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Rider

Important: Please ensure your First Names and Surname are exactly the same as printed in your passport
           
* Title * First Names * Surname
* Date of Birth * Passport No. * Citizenship
* Passport Expiry Date
Passport Issue Date
* Country of Passport Issue
Place of Passport Issue
* Citizen of:
* No. and Street
* Town / City
* County / State
* Post Code / ZIP * Country
* E-Mail Address
Tel. No. (home) Work FAX
Mobile Number 
Occupation
Age Weight Height
Blood Type Smoker? Y/N
General Health
Special medical needs and /or Dietary Requirements
Emergency Contact Name and phone Number
Drivers License No. Endorsements
Current Motorcycle Largest M/C owned
Years of Full License Miles of motorcycling per year
Clubs belong to
Experience/Special Interests

Pillion

Important: Please ensure your First Names and Surname are exactly the same as printed in your passport
           
* Title * First Names * Surname
* Date of Birth * Passport No. * Citizenship
* Passport Expiry Date
Passport Issue Date
* Country of Passport Issue
Place of Passport Issue
* Citizen of:
* No. and Street
* Town / City
* County / State
* Post Code / ZIP * Country
E-Mail Address
Tel. No. (home) Work FAX
Mobile 
Occupation
Age Weight Height
Blood Type Smoker? Y/N
General Health
Special medical needs and/or Dietary Requirements
Emergency Contact Name and Phone Number
Clubs belong to
Experience/Special Interests

Rental

Motorcycle 1st choice Motorcycle 2nd choice
Pickup location Dropoff location
Pickup date Dropoff date No. of Nights Hire

Costs - Rental:

Motorcycle (No. x days / weeks) CDW/CDR/VIP (No. x days / weeks)
Pillion Fee (No. x days / weeks) One way fee
Optional Extras Unlimited/additional mileage
Local Taxes TOTAL
Deposit Balance Due 2 months prior to travel

Costs - Tour:

Tour Name
Departure Date Return Date
Motorcycle 1st choice Motorcycle 2nd choice
Room Choice Single Double Twin Shared
Rider (tour price x no.) Pillion (tour price x no.)
Motorcycle upgrade Additional insurance (x days)
Room supplement/upgrade Pre/Post accommodation
CDW/CDR/VIP insurance TOTAL
Deposit Balance Due 2 months prior to travel
Please also arrange the following: (No payment is required until bookings are confirmed)
Flights
Outbound from On date To
Return from On date To
Accommodation
Ferries/Shuttle
Outbound from On date To
Return from On date To
Shipping
Outbound from On date To
Return from On date To
Travel Insurance
From To No. Days



Please arrange(check all that apply) :

US motorcycle insurance Annual Travel Insurance



Please type in the box below if you need other information or have any comments

Please click on the "Submit" button above after completing this form.
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