Travel Reservation Form

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Please complete and fax back to: 1.888.327.2283 or scan & email to:
Traveler One (Contact Person)
Shared
Two
Own Room (Single
Tour Date: ________________________________________
# of People: ______
Room:
Bed
Singles
Supplement)
Cycling
(Y/N): ____
Carbon Rental Bike ($400 additional)
Name: ____________________________________________________ Age: _____
on tour:
Address: ____________________________________________________________
Rental Bike Size:_______ (See Page 2)
Bike
A
B
(see page 2): ______
(see page 2): ______
City: _______________________________________State/Prov: _______________
Chart:
Postal Code: ____________________ Country: _____________________________
Bringing Own Bike (no charge)
T-Shirt /
Tel: _______________________ Email: ___________________________________
Jersey:
T-Shirt Size: _____
Cycling Jersey Size: ______
Emergency Contact: ___________________________________________________
Click here
for Men’s sizing chart or
click here
for Women’s sizing chart.
Tel: _______________________ Email: ___________________________________
*Please remember to bring your own pedals, shoes, and helmet!
Special Meal Requirements: _____________________________________________
Allergies: _________________________________________________
Payment Method:
Visa/MC
Check
Card #: ___________________________________________ Expiration: __________ CSV Code: _________
Name on Card: __________________________________
Billing Address
: _________________________________________________________
(if different)
City: ______________________State/Prov. ____________
Postal Code: _____________________ Country: _______________________________________
Signature of Card Holder*: _____________________________________ Date: __________________ Charge final payment to this card (Y/N): ______________
*By completing and signing this Reservation Form, the signatory hereby irrevocably agrees to Gourmet Cycling Travel, LLC Terms & Conditions. A US$500/person
deposit will be charged to your credit card number provided. Full payment is due 90 days before your tour's start date. Your card will be charged for the full tour amount
if there are less than 90 days remaining before the tour start date.
Traveler Two
Shared
Two
Own Room (Single
Relationship to Traveler One: __________________________________________
Room:
Bed
Singles
Supplement)
Cycling
(Y/N): ____
Carbon Rental Bike ($400 additional)
Name: ____________________________________________________ Age: _____
on tour:
Address: ____________________________________________________________
Rental Bike Size:_______ (See Page 2)
Bike
A
B
(see page 2): ______
(see page 2): ______
City: _______________________________________State/Prov: _______________
Chart:
Postal Code: ____________________ Country: _____________________________
Bringing Own Bike (no charge)
T-Shirt /
Tel: _______________________ Email: ___________________________________
Jersey:
T-Shirt Size: _____
Cycling Jersey Size: ______
Emergency Contact: ___________________________________________________
Click here
for Men’s sizing chart or
click here
for Women’s sizing chart.
Tel: _______________________ Email: ___________________________________
*Please remember to bring your own pedals, shoes, and helmet!
Special Meal Requirements: _____________________________________________
Allergies: _________________________________________________
Gourmet Cycling Travel LLC • USA Toll Free: 1.888.327.2283 • Fax: 1.888.327.2283 • Email:
Web:

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