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Germany
B500 Tour
Booking Form
Please
print, complete and post to address at foot of the page
Riders Details:
Name:……………………………..............................……………………………………………………….....................…
Address:……………………….............................……………………………………………………….....................….....
………………………………..............................…………………………..........…………..Post
Code:………………….
Email address:………………………………………………………..................................................................……
Contact Tel No’s: Home/work:…………………………Mobile:……………………………..
Pillion Details if Applicable:
Name:…………………………………………………………………………….....................………………….........……..
Address:…………………………………………………………………………...................................................………….
……………………………………………………………………………................................Post
Code:………………….
Email address:……………………………………….……….........................................................................................
Contact Tel No’s: Home/work:……...………...……Mobile:…………....
Bike Details: Make:......................................................
Model:......................................... Registration Number:....................
Tour Selection: B500 14th to 19th July 2012
If you have a promotional code please enter it HERE………………….
Customer and Accommodation:
Please circle requirement.
Single Rider - Shared/Twin Room............ £595
Single Rider - Own room......................... £750
Rider & Pillion -Shared Room................. £990
If you have a promotional code please enter
it here: ................................
Please Note any special dietary needs:
..........................................................................................................................................................................................
Disclaimer: Please read before signing:
I confirm that I have read and understood the Terms & Conditions.
I confirm that I am a competent rider and my motorcycle is road
legal, mechanically sound and of a type suitable for touring.
I will in no way hold “Extra Mile Bike Tours” responsible
for any accidents or mechanical breakdowns whilst on tour.
I enclose the following amount £…...…. As deposit
/ full amount (delete as necessary)
Signature………………….….…………Full
Name:………………………..…..………..Date:……………….
Please make cheques payable to “Extra Mile Bike Tours”
and post together with booking form to
Extra Mile Bike Tours Ltd. 175 Durham Road, Stockton on Tees.
Cleveland. TS19 0PX
Or email bookings@extramilebiketours.com and we will contact you
to take credit card payment.
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