EmailMe Form - Guided Motorcycle Tour Application form

Which Tour would you Like to do?
(All tours listed in date order) *

Which Motorcycle do you require for the tour *

BMW F700GS

BMW F800GS

BMW R1200GS LC

BMW R1200GS LC Adventure

Please check any extras that your require

Name (Exactly as written on your passport)

First Middle Last

Email

Mobile Number
(With Country Code) *

Home Number
(With Country Code)

Office Number
(With Country Code)

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Passport Number

Nationality

Motorcycle License number

Date of Birth

DD / MM / YYYY

Riding Experience
On-Road / Tarmac

Beginner

Intermediate

Advanced

How many Years have you been riding on road?

Riding Experience
Off-Road / Dirt Roads

Beginner

Intermediate

Advanced

How many Years have you been riding off road?

Which size do you prefer of your complimentary Sama Tours T-Shirt?

Do you prefer a loose fitting standard T-shirt or a Lady top in your Sama Tours T-Shirt?

Loose fit T-Shirt

Lady Top

Any special occasion that is occurring on the Tour?
(eg: Wedding anniversary, Birthday etc)

Will you have a pillion/passenger Joining you

Yes

No

If Yes, Name exactly as written on passport

First Middle Last

Passort Number

Nationality

Date of Birth

DD / MM / YYYY

What type of accomodation would you like

Single room (1 person, 1 room)

Twin room (2 people, 2 beds)

Double room (1 Double bed for 2)

Special Diet requirements
(Eg Vegetarian)

Which size do you prefer of your complimentary Sama Tours T-Shirt?

Do you prefer a loose fitting standard T-shirt or a Lady top in your Sama Tours T-Shirt?

Loose fit T-Shirt

Lady Top

Do you require Pre- Tour Accomodation
(R900 pp sharing, R1,400 pp Single)

Yes

No

If Yes, how many nights

Do you require Post- Tour Accomodation
(R990 pp sharing, R1600pp Single)

Yes

No

If Yes, how many nights

Would you like to book any of these "Add on Tours"

3 Night Vic Falls Fly in Safari

3 Night Luxury Kruger Safari

3 Night Budget Kruger Safari

No Thanks

How did you hear about Sama Tours

Comments