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 ____
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 (if not model feature) ___
Garmin Zumo 550 or 660, BMW Navigator IV 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 $1000 (or Euro 1000 - depends upon tour pricing) 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.
___ MasterCard ___ VISA ___ JCB
Card Number | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ |
Expiration Date | ______ | ______ | ______ | (Day / Month / Year)
3-digit CVV2 value security no. | __ | __ | __ | (On back of MC/Visa cards after account number)
Name on Card ___________________________________________________
Credit Card Holder Signature
How to sign-up for your motorcycle tour
Bosenberg Motorcycle Excursions
Mainzer Str. 54
55545 Bad Kreuznach
Tel. (011)+49-671-67312 Fax (011)+49-671-67153 E-mail: email@example.com www.bosenberg.com