BaltiCCycle Tours - BaltiCCycle

BaltiCCycle Tours

Year

Description / Program / Registration / Conditions

BaltiCCycle 2022 PORTUGAL: from Porto to Lisbon

2022.08.05 – 08.26

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)

Country	Dates	Number of days	The chosen route		Membership fee, €
Country	Dates	Number of days	Country	Number of days	30 €/day
Portugal	08.05-08.26	22
TOTAL	08.05-08.26	22

Please, enter exact dates when you start and finish the ride. If you plan to join 2 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% – long term travellers who cycled in the previous BaltiCCycle tours (2003-2019) 100 days and more; if a cyclist reaches 100 days during this ride, the discount is counted from that day;
	10% – students (not more than 26 years old), families (3 and more persons);
	special discount – participants who obtain potential sponsors or support organizers before or during the expedition in another way will (preparing the route, driving the support car, medical or bicycle service, etc.) receive a privilege discount negotiated personally;
	no discount.
Data for discount

Note: If the registration and the membership fee are not received until July 10, 2022, the discounts are cancelled, and the fee increases by 10%.

TOTAL WITH DISCOUNT: 0 €

I would like to use the transportation service for my additional piece of luggage (up 20 kg) during the ride - 2 €/day (remember that the transportation of one standard bag is included in the registration fee)
Yes No

I would like to purchase an additional BC2022 T-shirt – 20 € per unit.
(participants who travel 10 and more days receive one T-shirt free of charge)
Yes No

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:
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