Please complete all fields that apply to you.

YOUR DETAILS

Your Name:
Are you the passenger or one of the passengers:
Company Name (if applicable):
If you are not the passenger or there are more than one passenger, please list names of others:
Contact Phone Number:
(Please include country code if not in Australia)
Contact phone number on the day of the ride:
Email Address:

RIDE DETAILS

Name of Tour: 
How many bikes are you booking?;  
If your tour is not listed above, please choose the hours required:  
Date of Tour:  
Time of Pick Up:  
Pick Up Address:  
Jacket Sizes (S, M, L, XL, 2XL ):  
Would you like to order any merchandise for your ride? If so please enter the details and quantity here:

PAYMENT DETAILS

Payment Amount:  
Credit Card Type:  
Card Number:  
CCV code - 3 digit code on back of credit card:  
Cardholders Name:  
Expiry Date:  

Month

Year

OTHER DETAILS

A receipt and confirmation will be emailed to you but if you require your credit card receipt to be mailed to you please provide a postal address

Additional Comments, 
Special Instructions 
or Questions