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
2012 Tours
  Monterey to Santa Barbara
Tour of Napa, Sonoma and West Coast
Deluxe Tour of Tuscany
Tuscany Villa Family Vacation
Tour of the Dolomites with the Maratona Gran Fondo
Etape du Tour Advanced Registration
Tour de France Advanced Registration
  Tour of the Alps and Provence

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