Online Booking Form

ONLINE BOOKING FORM

PERSONAL...........................Rider (full name):
Pillion (full name):
Rider's Address:
Post Code:

CONTACT.......................................Home Tele:
Mobile No:
E-mail:

MOTORCYCLE.........................................Make:
Model:
Reg No:

TOUR.......................................................Type:
Arrival Date:
Departure Date:

FERRY..........Outbound Sailing / Dover-Calais:
Return Sailing / Calais-Dover:

If sailing via a different route please state port of departure / arrival & preferred sailing times (Contact us first, a supplement may apply):

HOTEL...........................................Room Type:

Other information you think may be relevant (special requirements, disabilities etc.):


I / We agree to pay a deposit of £ 60.00 per person & the remaining balance within the time limits specified by Middle Rhine Tours	Yes No


I have / We have read, understood & accept Middle Rhine Tours Ltd Terms & Conditions:	Yes No