| First Name: |
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| Last Name: |
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| Company: |
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| Address 1: |
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| City: |
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| State/Province: |
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| Zip Code: |
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| Country: |
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| Web Site: |
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| Email Address: |
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| Verify Email: |
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| Business Phone: |
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| Fax: |
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Multi-Day Tour - Motorcycle
Information:
Select 2 choices from rates. The Motorcycle MUST be picked up at least one day PRIOR to the tour dates (See Above Notes).
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| Pick-Up Date & Time: |
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| Drop-Off Date & Time: |
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Bike Model - 1st Choice - Daily Rate: |
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Bike Model - 2nd Choice - Daily Rate: |
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Motorcycle Reservations - Number of Days: |
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Passenger?: |
Yes - ($75 Total)
No
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Motorcyle Rental Reservation: |
Tour & Motorcycle Rental
Tour ONLY - I Have My Own Motorcycle
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Insurance Options: |
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Multi-Day Tour Choice: |
3 Days - Utah Parks & Canyons Tour - $298 Per Rider
3 Days - Utah Circle - $298 Per Rider
4 Days - Arizona Grand Slam - $398 Per Rider
3 Days - Arizona Parks & Canyons - $298 Per Rider
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Hotel / Camping Information *
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Hotel Reservations Needed?: |
Yes - 10% Reservations Surcharge
No - We'll Book Ourselves
No - We'd like the camping option
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Hotel - Special Request: |
Book With Group
Non Smoking
Refrigerator
Pool / Spa
1 King
2 Queens
Roll Away
2 Star - OK
2.5 Star - OK
3 Star - OK
3.5 Star
4 Star
No - We'd like the camping option
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Camping Option: |
Camp Fees Total @ $35 Per Bike
Hotel Option Standard Rates
3 Man Tent Rental $50 Each
Large Mummy Sleeping Bag $25 Each
Air Bed Singles $10 Each
Air Bed Queen $15 Each Big & Heavy
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Forms: How Will You Be Returning the Forms?: |
Standard Mail
Scanned & Emailed
Faxed
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| Comments: |
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| Contact Required: |
Yes No |
