53nd INTERNATIONAL BSA RALLY ITALY





IN LAGO DI VICO 18th - 25th JUNE 2016

Booking form - Please write clearly

Driver's full name

Phone No.


Address

E-mail


Country (Branch)

BSA Bike Model + year





Names
Sex M/F
T Shirt
S. M. L.XL. XXL.
T-Shirt style M/F
Age

Driver






Passenger






Passenger






Passenger






Passenger






Rally Fee
Price NOK

Number of persons
Total NOK

Rally fee per person adult-Obligatory no refund
750,00

 -  
€ 79,00
 750,50

Rally fee children 12 - under 15 years
356,00

 -  
€ 37,50
 356,25

Rally fee children under 12 years
Free


Free






Total number
 -  

Accommodation




Camping
Price NOK

Number of units
Total NOK
9,5

Tent or camper or caravan without electricity - 1 Night
76,00

 -  
€ 8,00
 76,00

Tent or camper or caravan without electricity - 7 Night
475,00

 -  
€ 50,00
 475,00

Tent or camper or caravan with electricity - 1 Night
114,00

 -  
€ 12,00
 114,00

Tent or camper or caravan with electricity - 7 Nights
712,50

 -  
€ 75,00
 712,50

Staying in tent or camper or caravan pr. person - 1 Night
76,00

 -  
€ 8,00
 76,00

Staying in tent or camper or caravan pr. person - 7 Nights
475,00

 -  
€ 50,00
 475,00

Rally fee children under 6 years
Free


Free

Bungalow for 4/5 people without bath – 1 night
655,50

 -  
€ 69,00
 655,50

Bungalow for 4/5 people without bath – 7 nights
4 275,00

 -  
€ 450,00
 4 275,00

Bungalow for 10 people without bath – 1 night
1 045,00

 -  
€ 110,00
 1 045,00

Bungalow for 10 people without bath – 7 nights
7 125,00

 -  
€ 750,00
 7 125,00

One bed in Bungalow for 10 people without bath – 1 night
124,00

 -  
€ 13,00
 123,50

One bed in Bungalow for 10 people without bath – 7 nights
810,00

 -  
€ 85,00
 807,50

Toiletries – 1 shower towel + 1 face towel + necessaire for hygiene
85,50

 -  
€ 9,00
 85,50

Breakfast
extra


extra






Total number
 -  

Residence Hotel - 5 km from campsite
Price NOK

Number of units
Total NOK

Single bed room 1 night
523,00

 -  
€ 55,00
 522,50

Single bed room 7 nights
3 300,00

 -  
€ 347,00
 3 296,50

Double bed room or small apartment - 1 night
712,00

 -  
€ 75,00 - € 80,00
 712,50
760
Double bed room or small apartment - 1 night
760,00

 -  



Double bed room or small apartment - 7 nights
4 495,00

 -  
€ 473,00 - € 504,00
 4 493,50
4788
Double bed room or small apartment - 7 nights
4 788,00

 -  



Small apartment for 3 people - 1 night
905,00

 -  
€ 95,00
 902,50

Small apartment for 3 people - 7 nights
5 700,00

 -   
€ 599,00
 5 690,50

Small apartment for 4 people - 1 night
1 100,00

 -  
€ 115,00
 1 092,50

Small apartment for 4 people - 7 nights
6 900,00

 -  
€ 725,00
 6 887,50

Small apartment for 5 people - 1 night
1 285,00

 -  
€ 135,00
 1 282,50

Small apartment for 5 people - 7 nights
8 090,00

 -  
€ 851,00
 8 084,50

Small apartment for 6 people - 1 night
1 475,00

 -  
€ 155,00
 1 472,50

Small apartment for 6 people - 7 nights
9 290,00

 -  
€ 977,00
 9 281,50

Small apartment 3 rooms for 4 people - 1 night
1 330,00


140
 1 330,00

Small apartment 3 rooms for 5 people - 1 night
1 520,00


160

 1 520,00

Small apartment 3 rooms for 6 people - 1 night
1 710,00


180

 1 710,00

Small apartment 3 rooms for 4 people - 7 nights
8 379,00


882
 8 379,00

Small apartment 3 rooms for 5 people - 7 nights
9 576,00


1008

 9 576,00

Small apartment 3 rooms for 6 people - 7 nights
10 773,00


1134

 10 773,00

Italian breakfast pr person pr day
47,50

 -  
€ 5,00
 47,50


Total number
 -  

Agriturismo - 150 mt from campsite
Price NOK

Number of units
Total NOK
€ 390,00
 3 705,00

Small apartment for 2 people - 7 nights
3 705,00

 -  
€ 460,00
 4 370,00

Small apartment for 4 people (2+2) - 7 nights
4 370,00

 -  
€ 700,00
 6 650,00

Small apartment for 6 people (2+2) - 7 nights
6 650,00

 -  
extra

Breakfast
extra


 -  




Total number
 -  

Hotel - 500 mt from campsite
Price NOK

Number of units
Total NOK
€ 65,00
 617,50

Single bed room  -1 night
617,00

 -  
€ 455,00
 4 322,50

Single bed room - 7 nights
4 325,00

 -  
€ 90,00
 855,00

Double bed room - 1 night
855,00

 -   
€ 630,00
 5 985,00

Double bed room - 7 nights
5 985,00

 -  
€ 110,00
 1 045,00

Bed room  for 3 people (2+1) - 1 night
1 045,00

 -  
€ 770,00
 7 315,00

Bed room  for 3 people (2+1) - 7 nights
7 315,00

 -  
 -  


Total number
 -  

Meals and arrangements
Price NOK

Number of units
Total NOK
 -  

Breakfast in campsite pr person pr day
95,00

 -  
€ 10,00
 95,00

Monday - Line up to Sutri (remember to specify number of persons)
free


free

Tuesday - Tour to Bomarzo - The Sacred Wood The Monster Park (XVI th century) pr persons
95,00

 -  
€ 10,00
 95,00

Wednesday - Guided bus trip to Roma pr persons
190,00

 -  
€ 20,00
 190,00

Wednesday - Lucas night run pr.person
67,00

 -  
€ 7,00
 66,50

Thursday Dinner & Dance adult pr persons
390,00

 -  
€ 41,00
 389,50

Thursday Dinner & Dance children under 12 years pr person
250,00

 -  
€ 26,00
 247,00

Friday - BBQ Camping Natura pr person without drink
143,00

 -  
€ 15,00
 142,50


Total number
 -  


Total amount
 -  



I agree to abide by the rules of the 2016 BSA Rally                                         Signature







To be paid by deadline 15th of April 2016. For payment after this date please add 10%

Booking will start from January 11, 2016

Return Complete booking from to your local BSA Club who will collect and send to: STUDIO AMBIENTE GREEN PROMOTION S.R.L.

Via R. Tacchi, 24                                             Phone: +39 0761 612347 (evening and weekend)

01032 Caprarola (VT)                                     Fax: +39 0372 431821

ITALY

Payment in € only. ALL changes to be paid by sender

Mail: info@camping-natura.com

campingnatura@gmail.com

Bank transfer to UBI BANCA SWIFT code (ISO 9362) BCABIT21

IBAN IT 11 O 03500 7303 000000000 3229













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