Name:                                                                               Male / Female (circle one)
Email Address:

Address:

Tel.No. Day 

Evening:

Date of Birth:                                         Nationality:                                       Occupation:

Passport No.

Place of Issue :

Date of Issue:

Expiry Date:

Tour Name:                                                                  Departure Date:

TOUR PRICE:                                                 DEPOSIT: refer to tour details for deposit amount

HIRE BIKE:  Y / N (circle one)

If Yes Height:                      Inside Leg:                £25 initial deposit to cover for minor damage refunded if undamaged

Single Supplement:        Y / N                       LATE BOOKING FEE:         Y / N

*See tour details for SS cost                     For bookings within 31 days prior to departure £40

TRAVEL/ EXPATRIATION INSURANCE:  Please supply photocopies to us

PAYMENT: Bankers Draft/Cheque in £ (Pounds Sterling) payable to Wildcat Adventures

Wire Transfers accepted please contact us for bank details

 HEALTH: Please indicate whether you suffer from any medical condition or are taking medication.

DIET: Have you any special dietary requirements?

Exercise Profile :
How often do you exercise? Rarely................1-2 times a week .................. 3+ times a week .................

What type?
Do you ride? Roads only.............Rough tracks..............Hilly areas.............

Over 20 miles a day..............Over 40 miles a day.................

I have read and understood your booking conditions, and I am willing to accept the terms and be bound by the same terms.

Signature 

Date