Guided Tour Application Form

Select Tour Select Tour5 Day Guided Tour7 Day Guided Tour10 Day Guided Tour10 Day Guided Garden Route Tour

Date of tour you want to do? (DD/MM/YYYY)

Which Motorcycle do you require for the tour ? Which Motorcycle do you require for the tour ?BMW F700 GSBMW F800 GSBMW R1200 GS

Please check any extras that you require Please check any extras that you require GPS Tank Bag Side Panniers Helmet Jacket

First Name

Middle Name

Surname

Email

Mobile Number

Home Number

Work Number

Address

Country / Region

Passport Number or SA ID number

Nationality

Motorcycle License number

Date of birth (DD/MM/YYYY)

Riding Experience On-Road / Tarmac Riding Experience On-Road / TarmacBeginnerIntermediateAdvanced

How many Years have you been riding on road?

How Many Years Riding Experience Off-Road /Dirt Roads?

Which size do you prefer of your complimentary T-Shirt? Which size do you prefer of your complimentary T-Shirt?XSSMLXLXXLMens T-Shirt (loose fit)

Will you have a pillion/passenger Joining you? Will you have a pillion/passenger Joining you? Yes No

Passengers Full Name:

Passengers I.D./Passport Number:

Passengers Licence Number:

Passenger date of birth: (DD/MM/YY)

Passengers T-Shirt Size? Passengers T-Shirt Size?XSSMLXLXXLMens T-Shirt (loose fit)

What Accommodation Would You Like? What Accommodation Would You Like?1 person, 1 room2 people, 2 beds1 Double bed for 2

Special Dietary requirements (eg Vegetarian)? Special Dietary requirements (eg Vegetarian)?YesNo

Do you require Pre-Tour accommodation? Do you require Pre-Tour accommodation?YesNo

How Many Nights for Pre-Tour Accommodation?

Do you require Post- Tour Accommodation? Do you require Post- Tour Accommodation?YesNo

How many nights for post-tour accommodation?

How did you hear about Us? How did you hear about Us?Google / Search engineMotorcycle MagazineFacebookMotorcycle Rally/ShowFriend

Message

Do you agree to Wild Hogs Terms of Service? Do you agree to Wild Hogs Terms of Service?YesNo

Number