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 October 18th - November 1st 2020
October 8th - 23rd 2019

Goa and Beyond December 1st - 14th 2019
January 27th - February 9th 2019

Himalayas Tour April 12th - 26th 2020
April 14th - 28th 2019
September 27th - October 11th 2020

Little Tibet Tour September 15th - October 1st 2019
September 6th - 22nd 2020

Malabar Coast December 17th 2019 - January 2nd 2020
January 7th - 26th 2021

Rajasthan Tour January 26th - February 11th 2020

Roof of the World June 23rd - July 8th 2019
June 7th - 23rd 2020

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