Motorcycling Bhutan Tour Registration Form 2009
Please complete the form below, circling answers when required and
email or fax back to us on (07) 5522 9734 or nirving@mtatravel.com.au

 Riders Names - as per passport  Pillion's Names- as per passport Tel No's:
     
     
     
     
Main Contacts Home Address:
 
Email Address: Date of Birth:

Preferred Tour Departure

11-22 April

26 June - 04 July 04-15 October 08-16 November
Royal Enfield Motorcycle Left side hand gearshift Right hand side gearshift

500cc

350cc

Do you hold a current full motorcycle license

Yes

250cc

Motorcycle helmets can be hired but may no be exact fit. Yes / No

If yes, what size please:

What city will you board your Drukair flight to Paro.  Bangkok Kolkata

Class of travel on Drukair

Economy

Business


Hotel rooming in Bhutan
 Single (supplement applies)  Twin Share
If travelling alone to Bhutan do you wish to share a room -
same sex subject to availability.

Yes

No

Does anyone have any special dietary requirements. Please specify.
 
Travel insurance is mandatory to enter Bhutan. Can we assist you with a policy

        Yes.                             No.                       If yes please specify.

 

Are pre/post Bhutan travel arrangements required.

Yes

No

If yes. Which Australian city (s) do you require air travel. From/To