SELF GUIDED TOUR
Application Form

This is the Self Guided Tour application form- please change your selection if you would like to apply for a Guided Motorcycle Tour or a Motorcycle Rental

Which Self Guided Tour would you like to do?*
Which Date would you like to start your tour?
Which Motorcycle would you require?
- Honda CRF300L
- BMW F750GS
- BMW F850GS
- BMW R1250GS
- BMW R1250GS ADVENTURE
Name
First Middle Last
Please write your name Exactly as it appears on your passport
Email*
Mobile Number
Please include your country code
Home Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth
Passport Number
Nationality
Motorcycle License Number
Riding Experience On Road/Tarmac
- Beginner
- Intermediate
- Advanced
How many years riding have you been riding on road?
Riding experience offroad/ Dirt Roads/ Gravel
- Beginner
- Intermediate
- Advanced
How many years have you been riding offroad?
Which size do you prefer of your complimentary Sama Tours T-Shirt?
- Extra Small
- Small
- Medium
- Large
- Extra Large
- XX Large
- XXX Large
Do you prefer a loose fitting standard T-shirt or a Lady top in your Sama Tours T-Shirt?
- Loose Fit T-shirt
- Ladies Fit
Any special occasion that is occurring on the Tour? (eg: Wedding anniversary, Birthday etc)
Will you have a pillion/passenger Joining you?
- Yes
- No
If Yes, Name exactly as written on passport:
First Middle Last
Passort Number:
Nationality
Pillion Date of Birth
Which size do you prefer of your complimentary Sama Tours T-Shirt?
- Extra Small
- Small
- Medium
- Large
- Extra Large
- XX Large
- XXX Large
Do you prefer a loose fitting standard T-shirt or a Lady top in your Sama Tours T-Shirt?
- Loose Fit T-shirt
- Ladies Fit
What type of accommodation would you like?
- Single room (1 person, 1 Bed)
- Twin room (2 People, 2 beds)
- Double room (1 Double bed for 2 People)
Special Diet requirements (Eg Vegetarian)
Do you require Pre- Tour Accomodation (R960 pp sharing, R1,510 pp Single)
- Yes
- No
If yes, how many nights?
Do you require Post- Tour Accomodation (R1050 pp sharing, R1710pp Single)
- Yes
- No
If Yes, how many nights?
Would you like to book any of these add on tour?
- 3 Night Vic Falls fly in Safari
- 4 Nights Victoria Falls and Chobe Fly in Safari
- 4 Nights Kruger Luxury Safari (4 Stars)
- 4 Nights Kruger Mid-range Safari (3 Stars)
- 4 Nights Kruger Budget Safari
- No Thanks
How did you hear about Sama Tours
- Google search/Internet
- Motorcycle Magazine
- Sama Newsletter
- Facebook
- Motorcycle Rally/Show
- I attended a presentation
- From a friend
Comments?
Date