Please fill out our online booking form for the High Country Cruise Motorbike Adventure Tour. Once you have booked the tour we will send you final instructions via email and also be in contact by phone to answer any questions. Step 1 of 5 - Personal Details 20% Name* First Last Email* Phone*Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Motorbike Make* Please provide details of the motorbike you will be riding on this adventure.Motorbike Model & Year* Rider Licence Number* Emergency ContactEmergency Contact Name* Full Name Emergency Contact Phone* High Country Cruise Tour DatesPlease select a date:*Select Ride DateFebruary 12 & 13th 2022Dec 3 & 4th 2022High Country Cruise Adventure Ride Price: Accommodation OptionsAccommodation Options*Accommodation is included for Friday and Saturday night. Saturday night accommodation in Dargo includes a 2 course meal and a cooked breakfast on Sunday. Friday & Saturday Night Only Saturday Night Total $ 0.00 Includes GSTAmbulance CoverDo you have ambulance cover?* Yes No Ambulance Member Number For your safety and the enjoyment of other riders on our tour, you cannot participate without Ambulance Cover. But don't worry, Ambulance Cover is very affordable. Please click on this link to get ambulance cover quickly and easily online. Get Ambulance Cover. T-Shirt SizePlease select your t-shirt size.* Small Medium Large XLarge XXLarge You will be supplied your tour t-shirt at the start of the tour. Health & Dietary RequirementsDo you have any allergies or are there any medications you are required to be on throughout the tour?* Yes No Please list your allergies/medications:Do you have any food allergies, or foods you cannot eat?* Gluten Free Dairy Free Nut Allergy Lactose Intolerant Seafood Allergy Other None Other Please list your dietary requirementsHealth Acknowledgement* I acknowledge that I am physically and mentally capable of participating in this activity and I do not have any pre-existing medical, physical or mental conditions which would prevent me from participating. I acknowledge that I have not been advised by any medical practitioner that I should not participate. I am aware that it is my responsibility to inform you of any medical, mental or physical conditions, allergies, medications and emergency contact details.Beverage RequirementsDrink Preference* Beer Spirits (Mixed Drinks) Wine Soft Drink None These drinks are for Friday and Saturday night.Beer Corona Carlton Draught VB Great Northern Coopers Pale Ale Iron Jack (Mid-Strength) Spirits (Mixed Drinks) Jack Daniels & Coke Jim Beam & Coke Johnny Walker & Cola Candian Club Vodka Cruiser Woodstock (Bourbon & Cola) Wine Shiraz Cabernet Sauvignon Chardonnay Reisling Pinot Noir Sauvignon Blanc Soft Drink Coca-Cola Coke (No Sugar) Lemonade Ginger Beer Fanta Pepsi Terms & Conditions This is an AMA sanctioned event and event insurance is included in your tour booking fee. Please read the PDS and Statement of Responsibility here. Coverage - Accident Insurance: Membership includes accident medical insurance cover of $5k death and $25k disablement while taking part as a registered participant in an AMA sanctioned event. Members have the option of upgrading this cover for a small fee for each event additional cover is nominated. To upgrade - you can purchase the AMA full membership at amaclubs.com.auPlease download, print and fill this AMA PDF and email or bring with you to the ride. DOWNLOAD AMA FORM – REQUIREDCancellations Any cancellation of a tour must be received in writing and will become effective on the date the notice is received by Mile Munchin’ Adventures. The following cancellation terms apply: If you cancel more than 30 days prior to departure a full refund we be supplied. If you cancel between 30 and 7 days prior to departure, a 50% refund will be given. If you cancel within 7 days prior to departure, a NO refund will be given. If you are unable to travel on a set date but still intend on doing a tour with Mile Munchin Adventures please inform us immediately and management will review the situation to see if we can transfer you to another date. This is not guaranteed and the above conditions remain in place, unless other arrangements are agreed to by Mile Munchin’ Adventures. If you fail to meet at the designated starting point of the tour at the prescribed date and time, Mile Munchin’ Adventures will treat your reservation as a no show. Your spot on the tour will be treated as vacant. No refund or alternate date will be provided. Terms & Conditions Please read our Terms & Conditions. before booking your motorbike tour.Accept Terms & Conditions* Yes I have read and accept the Mile Munchin Adventure Terms & Conditions outlined on this website.Insurance (Travel & Personal Items)* I am aware travel insurance and personal items insurance is not included.Marketing Consent* I agree for my image to be used in future Mile Munchin marketing materialA professional video will be created of your Mile Munchin Adventure trip and published on You Tube. Photos of the trip may also be uploaded to our social media. Rider SignaturePlease sign using the digital pen. Scroll over the signature area and the pen will appear. Or if you're on a tablet or smart phone use your finger. Payments OptionsPlease choose your payment option:* Pay with PayPal (please note you do not require a PayPal account) Direct Transfer Discount Code Do you have a code? If yes, then please type it in to receive your discount.PLEASE NOTE: On the next page you do NOT need a PayPal account in order to use you credit card to pay. Simply click on the button at the bottom which says, “Pay with a card”You can pay directly into our bank account, by using the following details: Account Name: Mile Munchin Adventures BSB: 113-879 Account Number: 442 559 670 CAPTCHA