1. 1. Personal Details
  2. 2. Race Experience
  3. 3. Medical History
  4. 4. Terms
  • First Name*
  • Last Name*
  • Street Address*
  • Address line 2
  • City *
  • State/Province/Region*
  • ZIP/ Postal Code*
  • Country*
  • Email*
  • Confirm Email*
  • Contact Phone No.*
  • Gender
    MaleFemale
  • Nationality*
  • Date of birth (Ex: 1987-05-17 (Year-Month-Day))*
  • Age at race*
  • Passport Number*
  • Passport Expiry Date (Ex: 2020-09-28 (Year-Month-Day))*
  • Ride or Companion?
    RiderCompanion

The Mustang Madness

Adventure Sports Nepal

  • Bhagwansthan Road (Road to Hotel Vaishali)
  • PO Box: 105 Thamel-29, Kathmandu Nepal
  • (01) 4414 690, 4412 322
  • Fax: +977-1-4414 690
  • info@themustangmadness.com
© COPYRIGHT 2017