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Walker
Some required values are missing.
Personal details
Attention! By sending this booking, you agree on the corresponding
terms of condition
. Read these carefully.
I agree on the terms of conditions.
Booking
Are you guaranteed in participating the Four Days Marches?
no
yes
Initials
*
M
F
First name
*
Last name
*
Date of birth
*
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2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Street
*
Postal code
*
City
*
Country
Nederland
Belgie
Deutschland
France
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Telephone
*
Mobile phone
Email address
*
Again for verification
Participants
Send a joint booking form if you wish to stay in the same accommodation as your friends or relatives. N.B. In case of a joint booking form the total amount must be paid at once. If you book jointly, you may be allocated the same room as you will be assumed to be friends.
Nr of participants
female
*
persons
male
*
persons
Walking distance
30km
*
persons
40km
*
persons
50km
*
persons
Arrival & departure
Date of arrival
Friday, July 13th. 2012
Saturday, July 14th. 2012
Sunday, July 15th. 2012
Monday, July 16th. 2012
Time of arrival
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
:
00
15
30
45
Date of departure
Friday, July 20th. 2012
Saturday, July 21th. 2012
Sunday, July 22nd. 2012
Accommodation
Preference for accommodation offering
Bed & breakfast € 29,00 p.p.p.n.
Full board (+ lunch and dinner) € 42,00 p.p.p.n.
Preferences
Do you mind sharing a double bed if you book for 2 persons or more?
no
yes
Do you mind sharing a room with a stranger of the same sex in case of a shortage of single or double rooms?
no
yes
Additional requirements
Do you smoke?
no
yes
Are you allergic?
no
yes
If so, specify your allergies:
Transport
No transport
Car
Bicycle
Which languages do you speak
English
Dutch
German
Payment
Payment method
iDEAL
Credit Card via PayPal
(extra costs 4%)
Administration costs:
Booking before June, 1st. 2012 € 11,00 per person
Booking after June, 1st. 2012 € 20,00 per person
After your confirmation you can do your online payment. After that you will receive a copy of your booking on your email address. A host family can not be sought for you until the cost of accommodation has been received.
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