2008 Self-Guided RESERVATION FORM 8/07 |
|
|
|
|
Name_________________________________________________________________________ |
|
Address_______________________________________________________________________ |
|
City, State, Zip_________________________________________________________________ |
|
Phone (daytime)_________________________Phone (evening)__________________________ |
|
e-mail_________________________________ |
|
|
|
persons traveling with you |
|
1. Name_______________________________________________will room with____________ |
|
2. Name_______________________________________________will room with____________ |
|
3. Name_______________________________________________will room with____________ |
|
4. Name_______________________________________________will room with____________ |
|
5. Name_______________________________________________will room with____________ |
|
|
|
Tour
Choice |
|
[
] Taste of Piedmont
[ ] Taste of
Tuscany |
|
|
|
Tour Starting Date (date
you will arrive at HQ hotel) |
|
day_________month_____________year_______ |
|
|
|
Deposit & Payment |
|
Please include deposit (personal check, money order AND credit card authorization) of $500 per person, per trip. (Minimum two persons) |
|
|
|
Please
review special self-guided cancellation policies prior to mailing your
deposit. CycleItalia will mail you complete pre-trip planning
information with your initial confirmation package.
Final confirmation details with hotel lists, phone/fax numbers,
maps, cue-sheets, etc. will be mailed 30 days prior to your departure. |
|
|
|
|
|
|
|
I certify those listed above will be the only persons traveling with me and I agree to be responsible for them while on the vacation. Persons not listed on this form will not be permitted to participate in this vacation package in any way without prior authorization of CycleItalia, LLC. I agree to pay in full any additional amounts charged to my credit card for the participation of unauthorized persons or damage caused to property of CycleItalia or its hotel or restaurant partners. Signature____________________________________________Date__________________________ |
|
|
“Pedala forte, mangia bene!” |