TOURMEMBER QUESTIONNAIRE FORM S-15 PLEASE COPY AND FILL OUTADVENTURETOURS/PATHFINDER TRAVEL SERVICE
DRIVER INFORMATION: Passport #______________________________________ Name:________________________________________________________Age:___ DL#: __________________________ Address:_____________________________________________________________ Phone #: __________________________ LIST ANY HEALTH PROBLEMS OR ALLERGIES: ____________________________________________________________________ ____________________________________________________________________ Relatives Name, Address and phone # ____________________________________________________________________ ____________________________________________________________________ Doctor Name, Address and Phone #: ____________________________________________________________________ ____________________________________________________________________ PASSENGER INFORMATION: : use other side for more passengers> Passport #__________________ Name:________________________________________________________ Age:_________ DL#: __________________________ Address:_____________________________________________________________ ____________________________________________________________________ Phone #: _________________________ LIST ANY HEALTH PROBLEMS OR ALLERGIES: ____________________________________________________________________ ____________________________________________________________________ Relatives Name, Address and Phone #: ____________________________________________________________________ ____________________________________________________________________ Doctor Name, Address and Phone #: ____________________________________________________________________ ____________________________________________________________________ VEHICLE & EQUIPMENT INFORMATION: Type of RV Optional Equipment ____ Class A Motorhome ____ C.B. Radio ____ GPS ____ Class B Motorhome ____ A/C Generator - Gasoline ____ Satellite TV Antenna ____ Class C Motorhome ____ A/C Generator - Diesel ____ Ham Radio Equipment ____ Travel trailer ____ A/C Generator - Propane ____ Short-wave Radio Receiver ____ Fifth Wheel ____ Air Conditioner ____ Tip-out room on R.V. ____ Tent Trailer ____ Moped/Motorcycle or Bicycles ____ TV/VCR ____ Pick-Up with Camper ____ Boat and/or Motor ____ Camcorder________ ____ Conversion Van ____ Towed Vehicle (dinghy) ____ Other:_____________ ____ Traveling with Pet, type & name: __________________________________________________________________ Make and Model of RV________________________________________________ Year:______ Lic #: _____________________ Make/Model of Tow Vehicle or Dinghy: ________________________________________Year: ______ Lic #: __________ Total/Combined Length of Vehicle (s): ______ feet ______ Meters Fuel used: ______Gas ______ Diesel ______ Propane Color of RV: ___________________________________ Color of Tow Vehicle or dinghy: _________________________________ Attach copies of title (s) and Drivers Licenses to this form - Keep originals. SPECIAL INTERESTS: What are your hobbies or special interests? ____________________________________________________________________ ____________________________________________________________________ What is your reason for joining this RV tour? What are you looking forward to seeing .____________________________________________________________________ ________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ...use extra sheets if needed ... OTHER INFO |
VEHICLE INFOSPECIAL TRIP INFOADDITIONAL FORMS
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