Online Registration Form

Eastern Tibet - Dege to Lhasa 30-Day Extreme Cycling Challenge

Dates: Saturday, April 13 to Sunday, May 12, 2013

Amelia Oliver

On top of Yakri Shung-La (la means pass)

Eastern Tibet - Dege to Lhasa 30-Day Extreme Cycling Challenge

Dates: Saturday, April 13 to Sunday, May 12, 2013

To register for this tour, please complete the form below and submit.

Note: each person going on the tour must submit a separate form..

Please fill out as completely as possible. We NEVER divulge any personal information to anyone.

Eastern Tibet - Dege to Lhasa 30-Day Extreme Cycling Challenge
Dates: Saturday, April 13 to Sunday, May 12, 2013

Tour Cost

Group size:

1 person: $5,560
2 people: $3,250 pp
3 people $2,400 pp
4 people $2,060 pp
5 people $1,790 pp
6 people $1,650 pp
7 people $1,530 pp
8 people $1,460 pp

Eastern Tibet - Dege to Lhasa 30-Day Extreme Cycling Challenge
Saturday, April 13 to Sunday, May 12, 2013
Bike Rental US$250.

Tour includes:

Bilingual bike tour guide to accompany the group throughout the tour.
A support vehicle and driver for 30 days.
All group permits fees.

Tour does not include:

Accommodations
Food and drinks
Admission to places of interest.

If you decide to do something on your own, you will be responsible for those costs.

Full Name		Passport No. Required
Address 2		City
State or Province		Postal Code
Country		Email Required
Day Phone		Evening Phone
FAX		Date of Birth	dd/mm/yy
Gender	Female Male	Nationality

Please note: We need to have your PASSPORT NUMBER for flight tickets. If you don't supply it now, we will ask you for it later.

Emergency Contact Information
Full Name		Relationship
Address		City
State or Province		Postal Code
Country		Email Address
Day Phone		Evening Phone
FAX		Comments

Medical conditions or allergies

Physical limitations or disabilities

Dietary restrictions or preferences

Please briefly describe you previous touring experience.

How do you find us?

Flight Arrival and Departure Information (if known)

Room Accommodations:
Are you traveling with someone else with whom you would like to share a room together?
Yes, with whom? No

I would like to share a room with another solo traveler of the same gender.
I would like a single room.

RENTAL BIKE

Check here if you would like to rent a bike

Rental Bike Includes:

Quality lightweight 24-speed Diamondback or Giant mountain bikes with front suspension

Shimano Deore or Acera components

Rear rack

2 waterbottle cages

Cyclometer

Handlebar bag

Rear panniers

Spare tube

Patch kit

Pump

Lock

Note: You are responsible for any loss or damage outside of normal wear and tear.

Optional Items included in rental cost.
Check items NOT wanted:

Removable front fender

Raincape

Rat-trap pedals (can be replaced with your own clipless pedals - see below)

Helmet

Gloves

Saddle

Please provide your sizing information:

Note: It is recommended that you bring your own saddle for your comfort.

Pedal Types

Rattrap pedals are normally provided. Bring your own clipless and we will install on the rental bike.

The Final Balance is at the start of the trip.

A payment of US$500 per person is required at the time of registering.

Please use the space below for additional comments or questions.

I have read and understand the Fine Print of this application.
(Please type the words "I accept" in the box) the Fine Print conditions.

Your email address and personal information is safe at Bike China Adventures, Inc.. It is our company policy not to sell or rent our list of clients to anyone for any reason.

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