Bike-Dreams : Dutch Detour
 
Dutch Detour
 

Registration Form "Dutch Detour 2019"

 

Please fill in all fields marked with an asterisk *
You can also download the Brochure and send the filled Registration Form to Bike Dreams.
The Booking Conditions form an essential part of the registration procedure and are inserted in the brochure.

 

First Name*
Last Name*
Address*
Postal / ZIP code*
Town / City*
Province / State
Country*
Telephone*
Mobile
Email*
Nationality*
Date of Birth*
Gender* Male
Female
 
Transport after finish
(see Transport)
 None or I decide later
Option A - Return to Amsterdam on Sunday April 28th
                     No extra hotel nights
Option B - Return to Amsterdam on Sunday April 28th
                     Extra hotel night in Amsterdam
Option C - Return to Amsterdam on Monday April 29th
                     Extra hotel night in Maastricht
Option D - Return to Amsterdam on Monday April 29th
                     Extra hotel night in Maastricht and Amsterdam
  
Cyclist / Non-cyclist* Cyclist
Non-cyclist
 
Shirt size*  (Note)