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BaltiCCycle Tours

Year

Description / Program / Registration / Conditions


BaltiCCycle 2022

continuation of the 5th OLYMPIC EXPEDITION /2nd and 3rd parts/

FROM RIO DE JANEIRO TO TOKYO

2022.02.12 - 04.12

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 section 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 (1-30 days)
22 /day (31-60 days)
Iguazu Falls - Salta 02.12 - 03.14 31
Salta - Santiago de Chile 03.15 - 04.12 29
TOTAL 02.12 - 04.12 60  

* The discount deadline for registration is January 12, 2022. If the registration and the half of membership fee are not received one month before the start of the ride, the whole fee increases by 10% automatically as well as all discounts cancelled. The second half of participation fee must be paid 10 before your start date; otherwise it increases by 10% as well.


Please enter the exact dates when you start and finish the ride.
Date of start
Date of finish

I would like to receive a discount
15% for the students (until 26 years old), families (3 and more persons travelling together) and BC veterans who cycled more than 100 days in the previous BC tours. If a cyclist reaches 100 BC days during the ride, the discount is counted for the remaining days.;
a privilege discount negotiated personally for participants who obtain potential sponsors or support organizers before or during expedition in another way;
no discount.
Data for discount

Note: The discounts are applicable only if the Registration Form and participation fee is received not later than January 12, 2022.

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; 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 30 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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