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BOOKING FORM
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* = Mandatory Field
This is a joining form for:
PARIS-DAKAR CHALLENGE
28th August to 18th September 2010
TIMBUKTU & WEST AFRICA EXPEDITION
22nd September to 9th October 2010
CENTRAL & SOUTH AFRICA EXPEDITION
13th October to 18th December 2010
TRANS-AFRICA EXPEDITION
28th August to 18th December 2010
MONGOLIAN CHALLENGE
London - Ulan Bator - 5th June to 4th July 2010
Riga - Ulan Bator - 12th June to 4th July 2010
GLOBAL CHALLENGE 2011
20th May to 21st October 2011
SELF RIDE - ROUND THE WORLD
Flexible package
Full support
SELF RIDE - PARIS-DAKAR
Basic package
Basic package with return shipping
Basic package with satellite package
Basic package with satellite package & return shipping
Promotional Code (if applicable):
*YOUR VEHICLE - motorcycle or 4x4:
I will be riding a Kudu motorbike
I will be riding my own motorbike
I will be driving my own 4x4
Number of people in vehicle:
I will be riding pillion / a support vehicle passenger
Personal Details
* Title
- select -
Mr
Mrs
Miss
Ms
Other
* First names
* Surname
* Address
* Postcode
* Country
* Nationality
* Date of Birth
* Telephone (daytime)
Telephone (evening)
* Present country of residence
Mobile
* Email
Motorcycle Experience
* Date motorcycle test passed
Make/model/cc of current motorcycle
* Date full (unrestricted) licence achieved
* Estimated miles ridden in last 12 months
Off-road experience (if applicable)
Total beginner:
Intermediate:
Experienced:
* Country in which motorbike test was passed
Please give a general overview of your motorcycling experience (countries toured, independent travels, off-road experience, mechanic/technical experience etc) - This will enable us to better cater for your needs during the pre-expedition training weekend.
Applicants who prefer to ride their own motorcycles or who are taking their own 4x4 on the expedition please complete the boxes below with the details of the bike or 4x4 you intend using.
Make
Model
CC
Year
Current mileage
Details of any modifications that you, or a previous owner has made to the bike or 4x4
Where did you first hear about Kudu Expeditions?
- select -
Internet search engine
Horizons Unlimited Website
Magazine advert
Magazine article
Recommended by a friend
Other
Additional comments or requests
*
I confirm that I have read all of the information available, including the
terms and conditions
, and all relevant
customer information
and I agree and accept to be bound by these conditions.
* Deposit Payment Method:
Pay deposit on-line £650 (trips less than 4 weeks)
Pay deposit on-line £1,500 (trips more than 4 weeks)
Pay deposit by personal cheque
Pay deposit by bank transfer
£650 deposits are for all trips less than 4 weeks in duration and £1,500 deposits are for all trips longer than 4 weeks in duration. All deposits are non-refundable - you can protect your deposit payments by purchasing adequate travel insurance. If you have chosen to pay by cheque or bank transfer then when you submit this form you will receive an e-mailed invoice the same day, along with payment instructions. For training packages please select "Pay deposit by bank transfer" and a separate invoice will be e-mailed to you with an online payment option available.