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Riders Name__________________________________________________________________________ Riders Address________________________________________________________________________ ______________________State______________Post
Code____________________________________ Phone_________________Mobile__________________Fax_______________Email________________ Motorcycle License No________________ Expiry Date________State/Country of Issue__________ Preferred Tour Date____________________________________________________________________ Tour Duration 2 day 3day 8 Day 12 Day Are You riding your own Motorbike Yes
No Details make & model__________________________________________________________________ Deposit: A 20%
deposit is required to confirm your booking Deposit Payment Method
Cash
Cheque or Money Order made payable to Rugged Red
Direct Deposit: Bank Details Account Number
112103 BSB 036 131 Please supply details of
payment receipt via Fax or Email
Credit Card
Bank Card Master Card Visa Card Card number__________________________________Exp
date_________________________ Name on
Card_________________________________________________________________ Final Payment: 30
Days prior to departure date Motorcycle Security\Evacuation Bond I acknowledge I am required to lodge a security bond
of $1500.00 30 days prior
to departure for any damage done to a hire motorcycle or for a emergency
evacuation by road or air if necessary. Money is refundable upon safe return. Payment & Cancellation Policy: After confirmation and prior to final payment,
deposit is non-refundable. After final payment and more that 21 days to departure
- 75% refund
Between 21 days and 14 days to departure - 50%
refund. Between 14 days and 7 days to departure - 25%
refund. Less that 7 days to departure - No Refund. All tours are subject to reaching minimum numbers 30
days prior to departure All participants required to sign “Acknowledgement
of risk and release of liability“ form Rugged Red does not provide travel Insurance please
note you are responsible for arranging your own Travel\Accident Insurance
prior to departure. |
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BOOKING FORM |