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BaltiCCycle Tours

Year

Description / Program / Registration / Conditions


BaltiCCycle 2020

5th OLYMPIC EXPEDITION

FROM RIO DE JANEIRO TO TOKYO

2020.03.02 07.24

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)
Section Dates Number of days The chosen route *Membership fee, €
Section Number of days 25 /day for 1-30 days
22 /day for 31-60 days
18 /day for 61-145 days
Rio de Janeiro Iguazu Falls 03.02 04.08 38
Iguazu Falls Salta 04.09 05.02 24
Salta Santiago de Chile 05.03 05.27 25
Hawaii 05.30 06.08 10
Wakkanai Hakodate 06.11 07.06 26
Hakodate Tokyo 07.07 07.24 18
TOTAL** 03.02 07.24 141  

* If the registration and a half of the participation fee is not received until December 2, 2019, three months before the start of the ride, the membership fee increases by 10% automatically. The second half of participation fee must be paid 10 days before your start date; otherwise it increases by 10% as well.
** The dates of transferring from South America to Hawaii as well as from Hawaii to Japan are not included when counting days.


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 (one of below displayed)
15% for the first 60 days for students (until 26 years old), families (3 and more persons traveling together) and BC veterans who cycled more than 100 days in the previous BC tours**;
a privilege discount negotiated personally for participants who obtain potential sponsors or support organizers before or during expedition in another way (preparing day descriptions, finding sleeping places, servicing bicycles, medical support, etc.);
no discount.
Data for discount

* The discounts are applicable if the Registration Form and at least the half of participation fee is received not later than December 2, 2019.
** If a cyclist reaches 100 BC days during the first 60 days of his/her participation, the discount is counted from this date for the remaining days up the 60th day. No discounts for the next days, because the membership fee reduces significantly.

TOTAL WITH DISCOUNT*: 0

I would like to use the transportation service for my additional piece of luggage during the ride - 2 €/day (no more than 15 kg; have in mind that 25 kg luggage is included in the registration fee)
Yes No

I will cycle 20 days or less but I would like to purchase BC2020 T-shirts 15 per unit
(for participants who register for more than 20 days free of charge)
Yes No

I will cycle more than 20 days but I would like to purchase an additional BC2020 T-shirts - 15 per unit
Yes No

Please select the size of your T-shirt / T-shirts:


EMERGENCY FUND*

Your contribution to the Emergency Fund must be 0 days x 2 € = 0

* Unspent money from the Emergency Fund will be returned in 60 days after the ride in the proportion of amount of your contribution.

FULL PAYMENT: 0

Your comments

I am familiar with the "Conditions of Participation" 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 registration fee which must be paid to:

GMPR Lithuanian Fund,
AB 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
I hereby agree to the processing of my personal data for the registration purposes in accordance to the Personal Data Protection Act from 28 August, 1997 (Journal of Laws No 101, item 926)






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