Docstoc

reg

Document Sample
reg Powered By Docstoc
					 Lynn Isenhour Motorcycle Tours and Transport
                                       2371 Spicewood Drive
                                Winston Salem, North Carolina 27106
                                           (336)918-2739

                       MOTORCYCLE TOUR RESERVATION FORM
                        Please make all checks payable to: Lynn Isenhour
A deposit of $300 per person is required to reserve a tour. Balance is due no later than 30 days prior to departure date.

Please reserve a place for Rider/Driver:                    Please reserve a place for Companion:

_______________________________                                ______________________________

                                               Please select one:
                Solo Rider                                                   Rider with Passenger

                                              Please select a tour:
       Daytona Spring Rally (March)                                Jackson Hole, Wy. Tour (July)

       Key West Tour (March)                                       Sturgis, South Dakota Rally (August)

       South Texas Tour (April)                                    The Best Of California Tour (Aug.-Sept)

       Sturgis, South Dakota (May)                                 Las Vegas Grand Canyon Tour (September)

       Rocky Mountain Tour (June)                                  Daytona Fall Rally (October)




                                             Driver Information:

Full Name:_________________________________________________

Address: __________________________________________________

Email: ____________________________________________________

Home Phone: ____________Cell Phone: _____________ Work Phone: _________

Make of Motorcycle: __________________ Model: _______________

Drivers License: ___________ State Issued: ________ Expiration: _____________

Riding Experience:            Total number of years riding: ________ Estimated miles: ___

Have you ever completed a Motorcycle Rider Safety Course:                                    Yes           No
                                 Companion Information:

Full Name:_________________________________________________

Address: __________________________________________________

Email: ____________________________________________________

Home Phone: ____________Cell Phone: _____________ Work Phone: _________

             IN CASE OF EMERGENCY – DRIVER INFORMATION:

Primary Contact: _____________________ Relationship: ___________________

Home Contact: _______________________ Cell Phone Contact: ______________

Secondary Contact: ___________________ Relationship: ___________________

Health Insurance Carrier: ______________________________________________

Policy Number: _______________________________________________________

Auto/Motorcycle Insurance Carrier: _____________________________________

Policy Number: ________________________ Phone Contact: _________________

Please list any medical conditions, allergies, medications, etc which the emergency
personal should be aware of in case of an emergency: ________________________

          IN CASE OF EMERGENCY –COMPANION INFORMATION:


Primary Contact: _____________________ Relationship: ___________________

Home Contact: _______________________ Cell Phone Contact: ______________

Secondary Contact: ___________________ Relationship: ___________________

Health Insurance Carrier: ______________________________________________

Policy Number: _______________________________________________________
Please list any medical conditions, allergies, medications, etc which the emergency
personal should be aware of in case of an emergency: ________________________
TERMS AND CONDITIONS:

All tour prices include transportation of motorcycle and luggage. Accommodations
are pre-reserved and guaranteed in advance. Upon check in/check out, you will be
responsible for your room bill and incidentals. Although, there are a few
destinations that rooms must be paid in advance, in this case, I will bill you for the
room charges. If you are a solo rider, and would like to room with another solo
rider, please let us know and we will try to accommodate your request.
The tours are scheduled at times when the weather is suitable for motorcycle
touring. However, at times the weather may not cooperate; therefore we will not
ride in dangerous conditions or severe weather.
Tours do not include fuel, food, or alcoholic beverages; Drinking is not allowed
while we are riding. Also, we do not allow firearms or illegal drugs of any kind on or
in your motorcycle or in our trailer.
Tours begin on the afternoon of the arrival date in the city shown and ends in the
same city.
Deposit and Final Payment: A non refundable deposit of $300 is required to secure a
space. Final payment is due no later than 30 days prior to tour shipping date.
Payments can be made by cash, check or money order.




By signing this form, I have read and understand the Terms and Conditions along
with giving all the correct information requested.


Driver Signature: _____________________________ Date: ____________

Companion Signature: _________________________ Date: ____________

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:3
posted:4/17/2012
language:
pages:3