Belgium WW1 WW2 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: Belgium WW1 WW2 Tour

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

Dates: Please select your preferred date(s)

4th - 6th May
18th - 20th May

3rd - 5th August
17th - 19th August

Customer and Accommodation:
Please circle requirement.
Single Rider - Shared/Twin Room............ £299 ( £359 for departures in Aug )
Single Rider - Own room......................... £395 ( £455 for departures in Aug )
Rider & Pillion -Shared Room................. £495 ( £555 for departures in Aug )

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)

(Minimum Deposit for this tour is £95.00)

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.