Traveller 1:

Name details must be as they appear on your passport.

First Name*

Surname*

Nationality*

Date of Birth* (DD/MM/YYYY)

Passport number*

Place of Issue*

Date of Issue (DD/MM/YYYY)*

Date of Expiry (DD/MM/YYYY)*

Occupation*

Traveller 2:

(if required...)

Name details must be as they appear on your passport.

First Name

Surname

Nationality

Date of Birth (DD/MM/YYYY)

Passport number

Place of Issue

Date of Issue (DD/MM/YYYY)

Date of Expiry (DD/MM/YYYY)

Occupation

Correspondence contact

Contact Name*

Address*

Postcode*

Home/mobile phone number*

Work phone number

Email address*

Emergency contact

In case of illness whilst abroad

Name*

Address*

Postcode*

Home/mobile phone number*

Work phone number

Relationship to traveller(s)*

How dis you hear about us?

Please let us know here...

Tour information

Tour name*

Departure date (DD/MM/YYYY)*

Number of days*

Cost per person*

Number of travellers*

Rooming preference (double, twin etc)*

Special requirements (vegetarian, vegan etc)

No. of hire bikes required

Rider heights for hire bike allocation purposes

Options required

We require a deposit of €150 per traveller to make your booking - the balance is payable in cash to the company representative when the tour starts or in advance by credit card or bank transfer.

Total transferred (€)*

Travel insurance details

Please use the box below to inform us of your travel insurance details, including the name of the insurance company, policy details, start and end dates etc.*

Declaration

I have read and accept the booking conditions, on behalf of all persons listed who appreciate the risks inherent in Adventure Travel. I (we) do not suffer from any disability or pre-existing medical condition which would prohibit full participation in the tour(s)

Date (DD/MM/YYYY)*

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