Title*---MrsMr First name* Second name* Street* Town / Postcode* Date of Birth* E-Mail* Telephone I am interested in the following offer:Customized TourTour de France WeekClimber weekLeisure rider week Number of people*12345678 I need a rental bike We work with bike rental companies in Montpellier and Ganges that rent out high quality carbon bikes with good equipment. We cannot guarantee availability. I need a transfer (fee required) from:Montpellier railway station/airportNîmes railway stationBéziers airport Kilometres on the bike in the previous year*1.0001.5002.0002.5003.0003.5004.0004.5005.0005.5006.0006.5007.0007.5008.0008.5009.0009.50010.000 Your questions, wishes and additional information (like e.g. frame height of the rental bikes) I have read the Privacy Statement and agree to the transmission of my data. Privacy statement: We notify you that the information in this form is transmitted to us in the form of an SSL-encrypted email. However, we cannot give any guarantee of confidentiality for this data transmission. The personal data that we collect from you is used exclusively for the purpose of the provision of the requested service. It will not be shared with third parties. This website uses functional cookies when you use the forms for date enquiries and prescription orders. These are small text files that are located in your browser. They are used, on your next visit, to reconstruct form entry items already input by you. This means that you do not have to fill in these fields on the form again. The settings of your browser give you the opportunity to block the use of these cookies and to delete cookies that have already been inserted. Doing this does not interfere with the working of the form, but you will have to fill in form fields again each time you call up the page.