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 October 20th - November 4th 2021
October 21st - November 5th 2020

Goa and Beyond January 25th - February 7th 2021

Himalayas Tour September 26th - October 10th 2021

Little Tibet Tour September 5th - 21st 2021

Malabar Coast January 4th - 20th 2021

Rajasthan Tour February 14th - March 2nd 2021

Roof of the World June 13th - 29th 2021

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