PHILIPPINE MOTOADVENTURES

Motorcycle Rental and Tours Throughout Philippines

Rider Information Form

Please fill in all blocks, use N/A if no answer

Name:
Date of Birth:
Address:
Address continue:
City:
State:
Country:
Phone:
e-mail:
Rider experience:
Allergies to Medications:
Medications taken now:
Any medical conditions or pertinent medical information:
Blood type:
Person to be notified in an emergency:
Address:
City:
State/Prov.:
Country:
Phone:
e-mail:
 Helmet No charge Helmet
Helmet size, refer to HJC size chart for sizing, CL-SP:
Saddle Bags, Tail Bag, P200day or P1000 week  Saddlebags Tail Bags
Tourmaster PVC Motorcycle Rainsuit P1350 take it home  Rainsuit
Tourmaster Rainsuit Size:
 WILDMAN SLIPPERS P500 WILDMAN beach slippers
WILDMAN slipper size:
WoW Philippine MotoAdventures Inc.

Sipalay, Negros Occidental
Philippines


        philmototours@yahoo.com  

Copyright . Philippine Motoadventures Inc.. All rights reserved.