Hands Across the Water

Hands Across the Water rides for 2012
Welcome to the registration page for the Hands Across the Water bike rides in Thailand for 2012.

By now you would have read the information about the ride and you would be aware that there are two rides in 2012.
- Udon Thani to Yasothon, January 4-12 for A$1,500 per person
- Bangkok to Khao Lak, January 16-24 for A$1,900 per person
Prior to registering we assume you have read the information documents which have been provided to you by the team at Hands Across the Water. We look forward to welcoming you on the tour in January.
Contact Details
Full Name

FirstMiddle Surname
Preferred Name
Address

Street Address

Street Address Line Two

SuburbState

Post CodeCountry
Passport Country
Passport Number
E-mail
Mobile Number
Personal Details
Date of Birth

DayMonthYear
Medical Conditions
Please Elaborate
Food Allergies
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Gender
Height
Weight
Cycling Details
Will You Be Bringing
Please Elaborate
Usual Bike Frame Size
Checked Sizing
Jersey Size
Polo Size
General Comments
Emergency Contact
Full Name
Relationship
Mobile Number
Contact Email
Additional Night Bookings
Contact me about
Insurance Details
Insurance Organised
Insurance Provider
Policy Number
Quote Required
Days Abroad
Tour Selection
As entry into the ride...
Which Ride
Your position on the ride is NOT confirmed until your deposit has been paid and you have received a confirmation email from a representative from Hands Across the Water.
Payment Details
Payment Method
Type
Payment Options
Full Name
As it appears on your credit card
Card Number
CSC Number
3 Digit Security Code on the back of the credit card
Expiry Date
Month
Year
Repeat Payment Authorisation
Digital Signature
Consent to charge your credit card based on your selection above
PayPal Payment
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Udon Thani to Yasothon - Full Payment$1,500.00 AUD

Udon Thani to Yasothon - Deposit Only$500.00 AUD

Bangkok to Khao Lak - Full Payment$1,900.00 AUD

Bangkok to Khao Lak - Deposit Only$500.00 AUD
International Money Transfer

A deposit of $500 is required immediately to secure you spot on the ride, the remainder is due by October 30. Please email us directly which your bank confirmation number once you have completed the money transfer to, payments@tourdeasia.org, so we can complete the processing of your application as soon as possible.

Bank: Bangkok Bank
Account: Tour de Asia Bicycle Touring Co., Ltd.
Number: 096-3-008149
SWIFT: BKK BTH BK

Bank Address:

Bangkok Bank Public Company Limited
333 Silom Road,
Bangrak, Bangkok
Thailand 10500

Company Address:

Tour de Asia Bicycle Touring Co., Ltd.
4/34 Hua Hin Soi 96/1, Phetkasem Road
Hua Hin, Prachuap Khiri Khan
Thailand 77110
Should be Empty:

Hands Across the Water rides for 2012

Contact Details

Personal Details

Cycling Details

Emergency Contact

Additional Night Bookings

Insurance Details

Tour Selection

Payment Details

PayPal Payment*

PayPal Payment