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   LJ ADVENTURE TRAVEL


  


Binding registration
Hereby I register myself / us obligatorily to the following motocyle tour by LJ Adventure Travel

- Please choose you tour

- for questions please use our contact tool

- queries via phone: 049 (0221) 26 061 061

Driver: *

Firstname:

Surame:

Street:

ZIP - City:

Day of birth:

Phone:

E-mail:


Pillion passenger:

Firstname:

Surame:

Street:

ZIP - City:

Day of birth:


Tour: *

Tour:

Date

Purchase

- - - Last registration is 5 weeks prior to travel begin - - -
Downpayment 10% of total purchase, at least $40,-, within a week after affirmation. the restpayment is due 4 weeks prior to travel begin. All payments are to be paid at no costs to LJ Adventure travel

Hotel: *

I wish the following room accommodations:
double bedroom            single bedroom at extra charge

Motorcycle experiance: *

I ride a motorcycle since:

yearly milage approx.:

1000-4000km  4000-7000km  more than 7000km

Additional information:


*) These are mandatory fields that have to be filled

I have read the AGB and declare them being the basis of this contract

 

Datenschutzerklärung:
wir nehmen der Schutz Ihrer persönlichen Daten sehr ernst. Diese werden nicht an Dritte weitergegeben, sondern nur für Ihre geschäftlichen Informationen verwendet.