Moselle Wine Fest
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: Moselle Wine-Fest

If you have a promotional code please enter it HERE………………….

Please circle preferred dates:

May 6th - 9th

July 1st -4th

July 15th -18th

Sept 3rd - 6th

Customer and Accommodation:
Please circle requirement.
Single Rider - Shared/Twin Room............ £545
Single Rider - Own room......................... £710
Rider & Pillion -Shared Room................. £925

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” 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.