THANK YOU

FOR YOUR

RESERVATION

 


Price: $3,095.00

Reservation Form

RESERVATION REQUEST FORM

* indicates a required field

First Name*
Last Name*
Address*
City*
State/Province*
Zip Code*
Country
Home Phone
Work Phone
Email*


OPTIONAL QUESTIONS

I would like a reservation for the following:*
GUIDED TOUR    SELF-GUIDED TOUR
Tour Date
No. Persons*
($350 single supplement for single travellers)
What do you need us to supply you for your bike?
pedals with toe straps
I would like a helmet
pedals without straps
What is the height of you and your group?
(5' 6", 5' 10", ...)
What type of room do you require?
Shared double bed 2 twin beds
Do you comply with our terms and conditions? terms
Yes, I agree No, I do not agree

OPTIONAL QUESTIONS
What type of biker do you consider yourself to be?
hardcore rider
bike collecting dust
weekend warrior
beginner
What's your dietary lifestyle?
I like everything
vegetarian
moderate carnivore
other
If "other", please explain:
Additional Comments
 
CREDIT CARD INFORMATION
Please fill out the credit card information below. The $400 will be used as a down payment on the trip. Give us a call at 888-396-5383 if you would rather give your credit card information over the phone.
Total Down Payment $
Card Type*
Card Number*
Expiration Date*

  
© Copyright 2007 DuVine Adventures, Inc.