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
Allergies
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
Oct 2019


Goa and Beyond Tour Jan 2019
Dec 2019


Himalayas Tour Sep 2019

South India - Malabar Coast Jan 2019
Jan 2020


Roof of the World Tour Jun 2019

Little Tibet and Ladakh Tour Sep 2018
Sep 2019

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