Please Print off and complete 

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Rider's Name Mr/ Mrs/ Miss___________(FirstName)_____________(Surname)__________________

Pillion/2^nd rider Mr/ Mrs/ Miss__________(FirstName)_____________(Surname)__________________

Address:_________________________________________________________________________________

_________________________________________________(Postcode)______________________________

Email address:___________________________________________________________________________

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Home:____________________ Work:________________________Mobile:__________________________

Bike details 1:    Make:_____________ Model:____________CC: ___________ Reg No._____________

Bike details 2:    Make:_____________ Model:____________CC: ___________ Reg No._____________

**************************************************************** Tour details: Name of tour:_______________________________       Dates:_______________________

No of Nights:______________________     Additional requirements:_____________________________

Accommodation:       Double  0         Twin Bed 0           Single 0           Single willing to share 0

Tour costs

Rider	£
Pillion/ 2nd Rider	£
Extras	£
Total	£

I enclose £_________full cost of tour/ Deposit (10%)(please make cheques payable to Headlight MCT Ltd)

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Booking Terms

Please see the full terms and conditions on the website

Signed: ......................................   Signed: .............................................. Date: ......................              

Please post the completed form along with your payment to

Headlight Motorcycle Tours

23 Ingleborough Way

Leyland

PR25 4ZS