for great rides in the heart of Europe.
Please print out the
tour application form below, fill out, sign and date, and either fax or airmail
to us. Our fax number is (011)+49-671-67153. Additional instructions are below
the form.
Driver/Rider Name _____________________________________ Age ____
Passenger Name (if applicable) ____________________________ Age ____
Address _________________________________________________________
City + State or Province _________________________________________
Country + Postal Code _________________________________________
Area Code + Tel. no. ____________________ / at night __________________
Fax no. _________________________________
E-mail Address _________________________________
Tour Name ________________________ Time Frame ________________
Please check and fill in the applicable boxes:
__ I/We request a standard class model (included in rider price):
1st choice ____________ 2nd ch. ___________
__ I/We request a motorcycle upgrade (with applicable supplement):
1st choice ____________ 2nd ch. ___________ 3rd ch. ___________
__ If undecided as to the specific model or make, please check your model type preferences (1st and 2nd choices). We will provide a suitable motorcycle based upon your style wishes for your tour use:
Tour ____ Sport-tour ____ Dual-sport ____ Sport _____ Cruiser ____
__ I wish to reserve a single room (with supplement).
__ I/We request early arrival and/or late departure stay-over tour hotel reservations (at extra cost per tour options).
upon early arrival (Mainz only): the night of ______________ to _______________
single room ___ double/twin room ___
at late departure (Frankfurt/Main only): the night of ______________ to _______________
single room ___ double/twin room ___
__ I/We request to rent our tour model prior to and/or after a tour for an additional time frame (at extra cost per stay-over optional daily model rental rate).
Pick-up date (prior to tour start) ____ and/or Drop-off date (after tour finish) ____
Pick-up date (upon arrival) _________ Drop-off date (at departure) _________
__ I/We wish to rent helmets: Size(s): Small ___ Medium ___ Large ___ Extra-Large ___
Based upon availability, we wish to rent the following additional equipment:
tank bag ___ top case / trunk / H-D tour pack (if not model feature) ___
BMW Navigator or TomTom Rider GPS unit __
This application is made based upon this home page which reflects the information contained in the current Bosenberg tour brochure. I/We have read and understand the terms and conditions governing tour programs and motorcycle rental. As a driver, I am an experienced, responsible, and healthy motorcyclist with a valid motorcycle license for the model displacement size requested.
A deposit of US $300 for each person is enclosed or the credit card authorization signed.
________________________________________________________________
Driver/Rider's Signature and Location/Date
________________________________________________________________
Passenger's Signature and Location/Date
Do you wish your final tour balance payment automatically processed (after you are booked and invoiced) with your credit card organization 8 weeks prior to tour start?
___ Yes No ___
I authorize the applicable tour deposit (and per selection above for the final tour payment) to be charged against my credit card organization account.
___ American Express ___ MasterCard ___ VISA ___ JCB
Card Number | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ |
Expiration Date | ______ | ______ | ______ | (Day / Month / Year)
3-digit CVV2 value or 4-digit security no. | __ | __ | __ | __ | (On back of AE/MC/Visa cards after account number)
Name on Card ___________________________________________________
_______________________________________________________________
Credit Card Holder Signature
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Bosenberg Motorcycle Excursions
Mainzer Str. 54
55545 Bad Kreuznach
Germany Tel. (011)+49-671-67312 Fax (011)+49-671-67153 E-mail: bme@bosenberg.com www.bosenberg.com |
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