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BaltiCCycle Tours

Year

Description / Program / Registration / Conditions


BaltiCCycle 2023

continuation of the 5th OLYMPIC EXPEDITION (4th part)

Hawaii archipelago

2023.02.25 – 03.26

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 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 35 €/day
Big Island 02.25 – 03.08 12
Maui Island 03.09 – 03.16 8
Kaua’i Island 03.17 – 03.22 6
O‘ahu Island 03.23 – 03.26 4
TOTAL 02.25 – 03.26 30  

* If the registration and the half of membership fee are not received before November 25, 2022, the whole fee increases by 15% automatically as well as all discounts cancelled. The second half of the participation fee must be paid before February 1, 2023; otherwise, it increases by 15% 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
10% – 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 half of the participation fee are received not later than December 31, 2022.

TOTAL WITH DISCOUNT: 0

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


EMERGENCY FUND*

Your contribution to the Emergency Fund must be 0 days x 5 € = 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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