189 Days until Safari

Online Booking Form
Once we have processed your payment we will send you your detailed welcome pack which details the tour and has a swag of information on getting ready for your outback adventure!

Select Tour	Please Select Your Tour 15/03/10 to 30/03/10 - Across Australia E-W 02/04/10 to 17/04/10 - Across Australia W-E 28/04/10 to 06/05/10 - Cape York S-N 10/05/10 to 18/05/10 - Cape York N-S 14/06/10 to 25/06/10 - Simpson Desert 12 Day 28/06/10 to 09/07/10 - Simpson Desert 12 Day 12/07/10 to 23/07/10 - Simpson Desert 12 Day 05/08/10 to 21/08/10 - Canning Stock Route S-N 31/08/10 to 09/09/10 - Tropics to Desert Tour 18/09/10 to 25/09/10 - Australasian Safari Adventure Tour 29/09/10 to 14/10/10 - Across Australia W-E
Rider Details
Full Name
Street Address
Suburb / Town
State / County
Country	Afganistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguila Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerjaijan Bahamas Bahrain Bangladesh Barbados Belarus Belguim Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of Cook Islands Costa Rica Cote d'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guam Guatamala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Mynamar Namibia Nauru Nepal Netherlands Netherland Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobego Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlaying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Postcode / Zip
Phone Number
Mobile Number
Facsimile
Email Address
Motorcycle Drivers License Number
License Type
State/Country of license issue
Do you require a motorcycle?	Yes No
Our tours require that you hold a full licence prior to departure. Please describe your level of riding experience, off road.
Do you have any medical problems (eg allergies)? Describe.
Do you have any special dietary requirements?
Accommodation
Would you like us to arrange accommodation before and after the tour for you?	Yes No
Room required from
Room required to
Courtesy transport is generally available to and from the airport depending on the accommodation booked
Travel Insurance
Would you like us to email travel insurance information to you?	Yes No
Other Information
Where did you first hear about us (magazines, friends etc)?
Comments or instructions
Please provide any other comments or instructions that will help us to process your booking
Payment and cancellation policy I acknowledge that I am requested to lodge a security deposit of $2500 to cover any damage to the Motorcycle that will be ridden by me. I also acknowledge that I will be liable to pay for any damage to this motorcycle caused by me up to this amount. A 20% deposit is required to confirm your booking. Final payment is required 30 days prior to your departure date. Cancelling after booking confirmation, but prior to your final payment, your 20% deposit is non-refundable. If cancelling after final payment has been received: More than 21 days prior to departure date - 75% is refunded. Between 21 and 14 days prior to departure date - 50% is refunded. Between 14 and 7 days prior to departure date - 25% is refunded. Less than 7 days prior to departure date - No refund. No exception to this policy can be made for any reason. Trip cancellation insurance is strongly recommended.
Payment Details	Credit Card Cheque/Money Order Electronic Transfer
I accept the terms set out in the Acknowledgment of risk and release of liability document [.doc]
Riders name
I accept liability	Yes
Security Code
Insert Security Code

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