HOME 2001-02 SEASON ANGKOR TOURS CAMBODIA CONTACT

To help us better serve you, please take a few minutes to fill out the Angkor Dirt Bike Tours Registration form. First Name Last Name Country E-mail 1. When was the last time you rode a DIRT bike? Years   Months     Never 2. When was the last time you rode a STREET bike? Years   Months     Never 3. Would you like to upgrade to a 2-stroke for an extra charge? YES     NO 4. Would you like a private room on your first night? YES     NO 5. Will you have travel Insurance? YES     NO 5. How definite are you? ( 1 = "maybe" and 5 = "I've already bought the ticket!" ) 1     2     3     4     5     5. Will you have time for an extended ride? YES    NO 5a. If yes, how many days? 6. Do you have any medical conditions of which we should be aware? YES    NO 6a. If yes, please explain? Please sign me up for the ADBT Tours in the Extreme Newsletter at the email address I have provided.