REGISTRATION CARD
español
US and Canadian citizens please contact Steve Lehman Tours steve@stevelehmantours.com
*Name:
*E-mail:
*Trip:
Phone (day):
Phone (evening) :
Address:
City:
State or Province:
ZIP Code:
*Country:
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