Account Number

Tour Information:

Requested Start Date

Tour01. Deserts & Mountains02. Highway 1: San Francisco to L.A.03. The Best of Southern California04. The Beautiful Pacific Coast05. Vegas & The Great Outdoors06. Vegas – Yosemite – San Francisco07. Vegas Winter Round-Trip08. Vegas, Route 66 & National Parks09. L.A., Route 66 & National Parks10. Vegas, Yosemite & The Pacific Coast11. The Great Western Round-Trip

Tour Package1 participant, 1 bike, 1 room2 participants, 2 bikes, 1 room2 participants, 1 bike, 1 room

2nd Participant (if any)noneDriverPassenger

Desired Bike Driver #1Triumph Bonneville/ThruxtonHarley Davidson Sportster/Nightster

Desired Bike Driver #2Triumph Bonneville/ThruxtonHarley Davidson Sportster/Nightster

Windscreen Requestedyesno

Saddlebags Requestedyesno

Backpack Requested yesno

Helmet Style1/23/4full-face

Theft & Damage CoverageNo coverageVIP Coverage ($21.00 per day)E-VIP Coverage ($24.00 per day)E-VIP Coverage Zero ($31.00 per day)

Travel Agency Contact Person:

First Name

Last Name

Phonel

E-mail

I agree to the Travel Agent Terms & Conditions/Pivacy Policy