Booking Request Form

Please complete all sections which are applicable, then click the Submit Button

Please name your Road Trip ?

Road Trip Choice :

What are your room requirements

RO=Rider only (Complete section 1 only)
RP= Rider and Pillion sharing a room (Complete sections 1 and 2)
TB= Two bike riders sharing a room (Complete sections 1 and 3)

Your Room Requirements :

Section 1 - Rider Information

Rider Name :

House Name/Number :

First Line of Address :

Second Line of Address :

Third Line of Address if applicable :

Postcode :

County :

Mobile Number :

Motorbike Make :

Motorbike Model :

Registration :

Any Allegies :

Emergency Contact :

Emergency Contact Number :

Relationship :

Do you require special diet YES / NO :

Diet Issue :

Section 2 - Pillion Passenger Details sharing the same room with the Rider detailed in section 1

Pillion Name :

Address Same as Lead Rider Yes/No :

If NO, please complete below

House Name/Number :

First Line of Address :

Second Line of Address :

Third Line of Address if applicable :

Postcode :

County :

Mobile Number :

Do you require special diet YES / NO :

Diet Issue :

Any Allergies :

Please note that you as the lead rider are to take responsibility for your pillion in the event of any allergy related issues.

Section 3 - Second Bike Rider Details sharing the same room with the Rider detailed in section 1

Rider Name :

House Name/Number :

First Line of Address :

Second Line of Address :

Third Line of Address if applicable :

Postcode :

County :

Mobile Number :

Motorbike Make :

Motorbike Model :

Registration :

Do you require special diet YES / NO :

Diet Issue :

Allergies :

Please note that you as the lead rider are to take responsibility for your second rider in the event of any allergy related issues.

By leaving the tick in the box, you are confirming, you have read and except the terms and conditions as found on our Itinery page of your selected road trip,
and are engaging on this road trip as a friend, and will not hold the organiser responsible for any issues which may arrise.