Booking Form
Japan 2019

To join our exciting 2019 Grand Pedal to Japan please complete the booking form below.

Full payment will be required upon booking.

Our bookings are handled through our partners at Nexus Travel in Monbulk. If you need flights, extra accommodation, tours, or insurance do let them know.

Please complete the form below

Name

First Name

Last Name

Gender

Male

Female

Date of Birth

Note: the format is Month - Day - Year

MM

DD

YYYY

Nationality

Email Address

Phone Number

Bike Size

Your height in cm or bike size

Bike Type

Rooming

If you are travelling with someone else provide their name and the room type (double or twin) that you would like. If you would like a single room (surcharge $700) please type "single supplement" below. If you are a single traveller and happy to share with another person leave the box below blank.

Dietry Requirements

Medical

Any medical issues we should know about that might impact you while on tour.

Questions or Special Request

Would you like a quote on flights?

Yes

No

Booking Conditions

I agree to all terms and conditions.

Japan Booking Form

Booking Form
Japan 2019

Please complete the form below

PHOne: 0437 599 363
WhatsApp: +61 437 599 363
Email: jason@pedalpedal.com.au

Japan Booking Form

Booking FormJapan 2019

Please complete the form below

Booking Form
Japan 2019