Germany - Moselle 7 Day 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:....................

Please circle preferred departure date: 28th April 2011 : 16th June 2011.
Customer and Accommodation:
Please circle requirement.
Single Rider - Shared/Twin Room............ £699
Single Rider - Own room......................... £849
Rider & Pillion -Shared Room................. £1295

If you have a promotional code please enter it here: ................................

Please Note any special dietary needs:

...........................................................................................................................................................................................

Market Research: For those not attending Survival Tours/Courses we would be grateful if you could indicate below if you have any interest in the following areas:

First Aid: (Bike related) YES/NO
Map Reading/Route Planning YES/NO
Survival Training: YES/NO

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 Ltd ” and post together with booking form to
Accounts Dept. 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.