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Rhine
Wine 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: Rhine WineTour
If you have a promotional code please enter it HERE………………….
Dates Please circle required dates:
May 20th -
23rd
June 3rd -
6th
June 17th
- 20th
Aug - 5th
- 8th
Aug 19th -
22nd
Sep 21st -24th
Customer and Accommodation:
Please circle requirement.
Single Rider - Shared/Twin Room............ £495
Single Rider - Own room......................... £650
Rider & Pillion -Shared Room................. £890
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.
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