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Reservation

First name:
Last name:
Number & Road:
Address Line 2:
Town / City:
Postal code:
County / State:
Country:
Phone:
E-mail:
Questions/Remarks:

Choose your route::

Starting date:

Room: Single Room(s) Double Room(s)
Meals: Breakfast Half Board (breakfast and evening meal)

Participant(s):
	Lastname/Firstname	Rental Bike (L/G) (Lady/Gentleman)	Body height (cm)
1
2
3
4
5
6
7
8

Do you wish to insure your bike against theft? Yes No
The cost is € 3,-- per day per bicycle.
For an elektric bicycle € 6,-- per day per bicycle.
Please see the General Terms and Conditions for Bicycle Hire and Insurance.

Extra nights:
City:	Number:	From/Untill:
City:	Number:	From/Untill:
City:	Number:	From/Untill:

If you are booking extra nights, would you like the reservation to be Half Board? Yes No

Would you like to take out travel insurance and trip cancellation insurance straight away?

The travel insurance premium is 5% of the total price of the holiday. In addition you pay 7,5% insurance tax and € 4,50 insurance policy costs.

Insurance: Yes No

It is also possible to send this booking by
Fax: +31(0) 318 54 84 20 or post
Dutch Bike Tours, Prof. Oudpark 21, 6716 EJ EDE, The Netherlands.

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