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MTB Raid Trans Atlas North to South - 8 days

Customer Information
Dates:
Last name:
First name:
Address:
City:
State:
Zip code:
Country:
Telephone:
Mobile:
Email:
Birth date:
Sex:
Nationality:
MTB rental:
Height: (to determine your bike size)
Other important information:
(i.e. diet,
medication)
 

Emergency Contact Info:
Name:
Address:
City:
State:
Zip code:
Country:
Telephone:
Mobile:
Email:
   

In case of multiple travelers:
  Traveler 2 Traveler 3 Traveler 4 Traveler 5
Last name:
First name:
Address:
City:
State:
Postal code:
Country:
Telephone:
Birth Date:
Nationality:
Sex:
Bike Rental:
Height:
Other important information:
(i.e. diet,
medication)

Emergency Contact Info:
Name:
Address:
City:
State:
Postal code:
Country:
Telephone:
Mobile:
Email:
 
All travelers on one invoice:    
I/We agree to the trip conditions:    
 
If there are more travelers, please send us their information via email.
 

I will immediately pay the deposit of € 100 per person to:
ING Bank in Elburg 67.41.02.738
to the attention of St. Atlas Promotion
in Elburg, the Netherlands

To pay from outside the Netherlands use the following bank codes:
IBAN: NL94 INGB 0674 1027 38
BIC: INGBNL2A