BaltiCCycle Tours - BaltiCCycle

BaltiCCycle Tours

Year

Description / Program / Registration / Conditions

BaltiCCycle 2021

5^th OLYMPIC EXPEDITION /Continuation/

FROM THE IGUAZU FALLS TO TOKYO

2021.03.27 – 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 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	Dates	Number of days	Section	Number of days	25 €/day for 1-30 days 22 €/day for 31-60 days 18 €/day for 61-117 days 30 €/day for Hawaii
Iguazu Falls – Salta	03.27 – 04.26	31
Salta – Santiago de Chile	04.27 – 05.25	29
Hawaii**	05.27 – 06.06	11
Wakkanai – Hakodate	06.09 – 07.05	27
Hakodate – Tokyo	07.05 – 07.24	19
TOTAL***	03.27 – 07.24	117

* If the registration and a half of the participation fee is not received until February 27, 2021 for the route in South America, and April 27, 2021 for the route in Japan, 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 membership fee in Hawaii is 30 €/day. No discounts for that part of the route will apply.
*** 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 (just one of displayed below; no discounts for the Hawaii part of the route)

	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 February 27, 2021 for the route in South America, and April 27, 2021 for the route in Japan.
** 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/BC2021 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/BC2021 T-shirts - 15 € per unit
Yes No

Please select the size of your T-shirt / T-shirts:
S M L XL XXL

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)

Friends:
catdays.net