Velo Echappe Reservations Printable Form

Velo Echappe Print Reservation Form

First Name:

__________________________________________

Last Name:

__________________________________________

Address:

__________________________________________

City:

__________________________________________

State:

__________________________________________

Zip Code:

__________________________________________

Email Address:

__________________________________________

Country

__________________________________________

Home Phone:

__________________________________________

Work Phone:

__________________________________________

Fax Number

__________________________________________

Your age:

__________________________________________

Preferred Daily Cycling Distance

________________ miles

Number of Persons:

__________________________________________

Hotel Information

Single. I want my own room	Please add single supplement to final payment
Double. I will share a room	If you have no specified roommate, you will be paired with a fellow guest of same sex and as close to age as possible.
Yes, I have a specific roommate

2010 Tours
	Tour of Tuscany and Umbria, June 6-12
	Tour of the Italian Dolomites, Alps and Lakes, June 17-24
	Tour of the Swiss Alps and Italian Lakes, June 27 - July 5
	France's Pro Tour Alps, July 9 - 15
	Etape du Tour, July 15 - 19
	France's Pro Tour Pyrenees Self Guided, July 19 - 23
	France's Pro Tour Pyrenees to Paris, July 19 - 26
	Santa Barbara Luxury Wine Festival, October 5-10

Please choose Italian Cycling Jersey Size: SM M LG XL XXL

Return send completed Reservation Form along with your deposit of $1,000.00 per guest to the following address:

Velo Echappe International Sports
PO Box 4910
Omaha, Nebraska 68104-0910

PH: 402.345.7445
Email: reservations@veloechappe.com