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BaltiCCycle Tours

Year

Description / Program / Registration / Conditions


INTERNATIONAL BICYCLE TOUR
BaltiCCycle
AROUND ARARAT
2010.07.24 - 2010.09.08

REGISTRATION FORM

Given names & surname
Citizenship
Personal code (if existing)
Passport data
Passport No.
Date of birth
(dd.mm.yy)
Place of birth
Date of issue
(dd.mm.yy)
Date of expiry
(dd.mm.yy)
Authority
Address
Street address
City
Postal code
Country
Telephones
E-mail

Chosen parts of the route / membership fee
(sign with mouse left-click button the country and type the number of days; the registration fee will be estimated automatically)

Membership fee: 10 EUR/day, after May 14 - 11 EUR/day.
Country Dates Number of days The chosen route
Country Number of days
Georgia I 07.24 - 07.25 2
Armenia 07.26 - 08.09 15
Iran 08.10 - 08.13 4
Turkey 08.14 - 08.27 14
Georgia II 08.28 - 09.08 12
TOTAL 07.24 - 09.08 47  

Participation fee: 0 EUR


Please enter the exact dates when you start and finish the ride. If you plan to join several times enter the dates for every part of the route.
Dates of start
Dates of finish

I would like to receive a discount (just one of below displayed)
Data for discount
10% - student (not more than 26 years old)
10% - family (3 and more persons)
15% - long term traveler who cycled in the previous BaltiCCycle tours (2003-2009) 100 days and more
no discount

NOTES:
  • The discounts are applicable only if the registration form and at least the half part of membership fee is received by the close of the business day on May 14, 2010. The rest part of participation fee must be paid at least 5 days before your start day (not paying in time you lose the discount).
  • After May 14, 2010 the membership fee is increased by 10%.

TOTAL WITH DISCOUNT: 0 EUR

I would like to use the transportation service for my additional piece of luggage during the ride
(transportation of one standard bag is included in the registration fee, the additional bag is charged by 2 EUR/day)
Yes No

I will cycle in the tour less than 15 days but I would like to purchase BC2010 T-shirts
(10 EUR per unit; for participants who register for more than 15 days - free of charge)
Yes No

I would like to buy a BC safety jacket (3 EUR per unit)
Yes No

I would like to rent a bike
(we can offer one bike for woman and one bike for man, 1-7 days - 5 EUR/day, more than 7 days - 4 EUR/day)
Yes No

I would like to climb Ararat
(240 Euro per person, for more info click here)
Yes No


I need assistance in obtaining visas or Ararat climbing permit
(15 Euro per person, more information regarding visas read here)
Yes No

For which countries

Armenia 12 EUR
Iran 30 EUR
Ararat climbing permit with Turkish visa 65 EUR
Ararat climbing permit without Turkish visa 55 EUR


FULL PAYMENT: 0 EUR

Your comments

I am familiar with the "Conditions" of the ride and agree with "Rules and Treaty for Participation and Responsibility"

In 5 days after the successful registration you will receive email confirmation with total amount of membership fee which you have transfer to:

GMPR Lithuanian Fund,
SEB BANKAS,
BIC=SWIFT: CBVI LT 2XXXX,
IBAN: LT83 7044 0600 0115 2710

ALL BANK REMITTANCE CHARGES MUST BE PAID BY PARTICIPANT.

I confirm that the information provided is correct