Booking Form

Before completing this form, please read our Booking Conditions.

Please Note that the fields marked with [ * ] are mandatory.

Tour Name Tour Name

Personal Details Title *
Full name *
Preferred name
Occupation
Address *
Suburb / Town *
State *
Post code *
Country *
Telephone *
Mobile
E-mail *
Best way / time to contact you *

Unique Trails likes to save paper, so we prefer email correspondence if possible. Please indicate if you have regular internet access

Yes

Passport Details Name as shown in passport *
Place of issue *
Nationality *
Passport number *
Date of expiry *
Date of birth *

Please note that your passport must be valid for at least 6 months after your return date from this trip.

Emergency Contact Name *
Relation to you *
Address *
Suburb / Town *
State *
Post code *
Country *
Telephone *
Mobile
Email
Best way to contact them *

Flight Details Arrival airline
Arrival flight number
Arrival time and date
Departure airline
Departure flight number
Departure time and date

Dietary / Medical Info Any medical conditions *
Any medications *
Any allergies *
Any injuries *
Any special dietary requirements *
Red or White wine
Height
Weight

Previous Biking Experience Level of biking skill *
Other biking tours completed

How did you hear about this tour

Would you prefer to share a room or have a single room. (Note we cannot always guarantee single rooms)

Room preference *

Shared

Single Room

Please let us know if there is any aspect of this tour about which you require any help or clarification

NB: Insurance cover is a requirement of this trip; please supply the details of your cover on our Insurance Form.

DECLARATION:

I have read, understood and accept the Booking Conditions and acknowledge that I have been given the opportunity to discuss the terms with Unique Trails and that by returning this form I agree to abide by them. I appreciate the risks inherent in adventure travel and that itineraries must sometimes change to preserve the safety of the group. I confirm that I do not suffer from any condition which could prohibit my full participation in the trip or create any risks for myself or others.

HOW WE USE THIS INFORMATION

Unique Trails will use the information you have provided here for the purpose of providing you with adventure travel services. Unique Trails will not disclose this information to any other person or organisation except in connection with the above purpose. If you have any queries about how we make use of your data, please do not hesitate to contact us.

Booking Form

Our Destinations

Our Tour Types