REGISTRATION CARD US and Canadian citizens please contact Steve Lehman Tours steve@stevelehmantours.com *Name: *E-mail: *Trip: Road Trip November 2009 Road Trip March 2010 --------------------------------------------------------------------------- Phone (day): Phone (evening) : Address: City: State or Province: ZIP Code: *Country: Alemania Argentina Austria Belgica Colombia Dinamarca Ecuador United Arab Emirates USA Spain Finland France Grece Holland Indonesia Italia Lithuania Luxembourg Malasya Mexico Norway Paraguay Low Countries Portugal United Kingdom Sounth Africa Swiss Turkey Uruguay Venezuela Otro -------------------------------------------------------------------- Other Country : Fill the Specified fields (*) Roommate(s) Information: Roommate1: Specify: Cyclist Non Cycling Partner Nombre de Acompañante2: Especificar: Cyclist Non Cycling Partner IF NO ROOMMATE, ADDITIONAL U$D 850 SINGLE SUPPLEMENT RATE WILL APPLY info@biketrips.com.ar

Contact us: Biketrips - Viajes en Bicicleta - Patagonia ARGENTINA
20 de Junio 750 2° D - San Carlos de Bariloche. Tel: 54-92944-369769 ó 54-92944-642096