Video & 4x4 Adventure Form For Booking.

Please fill out the Video & 4x4 Adventure form below to sign up for the tour.

After you submit this form, we will contact you by E-Mail regarding payment and how you can pay.

At this stage, payment is available by EFT and PayPal only. If you are using EFT, please E-Mail us a copy as proof of payment because it can take 3-4 days before it shows up in our bank account.

To secure your place a deposit of $50.00 must be paid at the time of your booking and the remaining amount is to be paid at the latest 30 days before departure.

There is only room for 2-3 cars on these tours so it is important we receive your deposit ASAP. First, to pay deposit is locked in on the tour.

We are only allowing 2-3 vehicles on these video trips as we have 3-4 crew
cars already on each trip.

Both tough trips are $275 each, camp fees included

Holland track $520, camp fees included

Murchison $450, camp fees not included (camp fees to be paid in person $35
per night 3 payments)

Video & Adventure Trips Tag Along Form.

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

E-Mail Address*

Street Address*

City*

State/Prov

Country*

Mobile*

DOB:*

Additional Driver Details, these questions will help us assist you along the tour: Are you familiar with and understand your vehicles 4WD system?*

	Yes
	No

Please select your tour.*

Have you been driving 4x4 Off-road before?*

	Yes
	No

How much off-road experience would you say you have on a scale from 1 to 10, with 1 No Experience and 10 Expert?*

Passenger Details:1

Name

DOB:

Passenger Details:2

Name

DOB:

Passenger Details:3

Name

DOB:

Passenger Details:4

Name:

DOB:

Does the Driver/s or Passengers have any Medical Conditions? Please list any medical conditions here:

Vehicle Details: Make & Model*

Year:*

Type:*

Fuel Type & Fuel Capacity:*

Colour:*

No. of Cylinders:*

Rego No:*

Modifications and accessories on the Vehicle:

You will need a UHF radio and an Air Compressor, If you haven't got one they can be hired for $ 15 each or $ 25 for both a day.

	UHF Radio $15.00
	Air Compressor $15.00
	UHF Radio & Air Compressor $25.00

Other Information:

Terms & Conditions*

I have read and agree to the Terms & Conditions. (See Link Terms & Conditions)

GDPR*

	I am at least 16 years of age.
	I have read and accept the privacy policy.
	I understand that you will use my information to contact me or send me the information I requested.

Please enter the word that you see below.

Leave 4x4 Adventure Form And Go 4 Wheeling In Western Australia.

Video & 4x4 Adventure Form For Booking.

Video & Adventure Trips Tag Along Form.

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