Motorcycle Tours Germany - Nurburgring Mosel Rhine motorcycling holidays

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Customer Details:
Rider:* (full name)
Pillion:* (If applicable)
Contact Address:* (please include Country)
Post Code:*
E-Mail:*
Home Tel:*
Mobile:*	(Please provide if possible)

Bike Details:
Make:*
Model:*
Reg No:*

Other Details:	(please tick as appropriate)
	a. Pillion and Rider requiring a double room
	b. I am a solo rider prepared to share a room:
	c. I am a solo rider requiring a single room:
	d. Vegetarian/Other Dietary requirements:
details:
	e. Asthmatic/Diabetic/Other Medical condition:
details:

Emergency Contacts:
Full Name:*
Relationship:*
Tel:*
Full Name:*
Relationship:*
Tel:*

Tour Dates:	(please confirm availability with us before booking)
Arriving:*	dd/mm/yy
Departing:*	dd/mm/yy
*T-Shirts: Please include your t-shirt size(s) in the comments box below.
Other Comments: Please feel free to add here anything else that may assist us in organizing your tour
Before submitting this booking form I/We declare that I/We have read and understood the Wheeltrax Motorcycle Tours Terms and Conditions* and that I/We agree to send a deposit of £75-00 per person as confirmation of the reservation
*Thank you for booking with Wheeltrax!*

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