Group name:

Street:

Postal Code:

City:

Country:

First name contactperson:

Last name contactperson:

Mobile:

E-Mail adress:

Have you rented bicycles from us before?

Payment method:

The location where you stay on Schiermonnikoog

Where would you like to pick up the bikes?

Pick up date:

Boat time from Lauwersoog

Luggage transport on arrival? (no trailers)

Date of departure:

Boat time from Schiermonnikoog

Luggage transport on departure? (no trailer)

Group type

Number of participants:

If primary education is please an age indication

Women's bicycle with coaster brake:

Men's bicycle with coaster brake:

Ladies bicycle with gears:

Men's bike with gears:

Tandem:

E-Bike:

Luggage cart:

Bicycle bag: