Full
Name (As appears on passport) |
|
|
Email
Address |
|
|
Confirm
Email Address |
|
|
Address |
|
|
Postcode/Zip |
|
|
Country |
|
|
Daytime
Telephone |
|
|
Evening
Telephone |
|
|
Date
of Birth |
|
Day
-
- Month
- Year -
|
Travelling
With |
|
|
What
time would you prefer to be contacted |
|
|
Name
of organisation/group/team |
|
|
Number
of Participants |
|
|
Trip
Name |
|
|
| Customised
short stays alternative to schedule as previously arranged with
Bikeandski-Vercors (subject to availability). |
| Preferred
Dates |
|
|
Dates
of Trip Departure: |
|
Day
-
- Month
- Year -
|
Do
you intend to compete in an event during your stay |
|
|
If
yes, please specify which event |
|
|
Do
you have a racing licence? |
|
|
Do
you have a medical certificate? |
|
- Please note that a medical letter from your doctor stating
that you are declared fit to participate in a race event must
be provided to the organisation of any events. |
Room
Arrangements |
|
- Prices are based on 2 people sharing a twin/double room. A
single room supplement of £12 per day will apply. |
Do
you require transfers to and from Grenoble/Lyon (airport or
station)? |
|
- A supplement may be required for any other airport or station
other than Grenoble and Lyon. Please contact us for details. |
Travel
Details |
|
If you are still awaiting to confirm your travel details, please
forward to us when completed. |
Full
price per person |
|
|
Flight/Train
Arrival Date |
|
Day
-
- Month
- Year -
|
Flight/Train
Departure From |
|
|
Flight/Train
Arrival To |
|
|
Flight/Train
Arrival Time |
|
Hour
- Minute
|
Flight/Train
Number |
|
|
Flight/Train
Departure Date |
|
Day
-
- Month
- Year -
|
Flight/Train
Departure From |
|
|
Flight/Train
Arrival To |
|
|
Flight/Train
Departure Time |
|
Hour
- Minute
|
Flight/Train
Departure Number |
|
|
Emergency
Contact Name |
|
|
Emergency
Contact Telephone |
|
|
How
did you hear about Bikeandski-Vercors |
|
|
Additional
Information |
|
|
Please
Note |
|
Please
forward £100 deposit per person or the full balance if your
arrival is within 8 weeks, to Bikeandski-Vercors, 169 Liverpool
Road, Penwortham, Preston, Lancashire, PR1 OQD, United Kingdom. |
Agree
to Terms and Conditions |
|
Open
Bikeandski-Vercors Terms and Conditions
Please check this box to show you agree to be bound by the terms
and conditions set forth by Bikeandski-Vercors.
|
| |
|
|
| |
|
Payment
Methods
Bank transfer to our UK bank account. Full
details will be sent to you at
the time of booking.
Cheques made payable to "Bikeandski-Vercors Ltd" and
sent to "169 Liverpool Road, Penwortham, Preston, Lancashire,
PR1 OQD, England"
|
