please complete the form, print it and send it to Suzuki-Freunde 4x4, Michael Wilkens, Grüner Wenzel 20, 32457 Porta Westfalica per Post.

your name, firt last

your emailaddresss (for questions)

name of the terrain

land of the terrain      Europe North America South Amerika Asia Australia Africa

Stand
16 Februar, 2007 

zip code

city

terrain-contact to speak to

tel.-nr.

website of the terrain

email of the terrain

arrival-description

terrain-description

overnight lodgings available? none Zelt Haus andere

sanitary facilities available? none WC Dusche/WC

remarks