Booking Form

Title Firstname Surname
Address County
Address 2 Post/Zip Code
Town/City Country
Daytime Tel Mobile
Evening Tel Email
Occupation Interests
Date of Birth Passport Expiry
Blood Type Smoker (Y/N)
Weight Height
Years of Full Licence
Current Motorcycle
Motorcycle mileage per year
Largest Motorcycle owned
Known Medical Conditions
Special Nutritional Requirements
In Case of Emergency Contact
Please specify the trips you would like to book with Live India (Please tick the boxes)

Bhutan Tour Oct 2018

Goa and Beyond Tour Nov 2017
Jan 2018
Nov 2018
Dec 2019

Himalayas Tour Sep 2018

South India - Malabar Coast Jan 2018
Jan 2019
Jan 2020

Roof of the World Tour Jun 2018
Sep 2018

Little Tibet and Ladakh Tour Sep 2018
Sep 2019

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