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
2009 Tours
2009 Tour of California February 17 - 23
2009 Tour of Arizona, March 17 - 22
2009 Tour of Arizona, March 24 - 29
2009 Tour of Tuscany, June 1 - 6
2009 Italian and French Riviera Tour, June 14 - 19
2009 Lance in France Tour Pre- Registration
2009 Lance in France Tour, Paris Final Weekend 3-Star
2009 Lance in France Tour, Paris Final Weekend 4-Star
2009 Etape du Tour Pre-Registration
2009 Glacier Nat'l Park to Sun Valley August 30 - Sept. 6

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
5022 Decatur Street
Omaha, Nebraska 68104

PH: 402.345.7445
Email: reservations@veloechappe.com