Lake Champlain Tandem Tour 2014

Saturday, July 12th to Saturday, July 19th

REGISTRATION

Print this page, then go here, and print Page Two. Please completely fill out and sign the form then Send To:
Gear-To-Go Tandems
1 Dahinda Rd 
Saranac Lake, NY 12983
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Total cost per couple is $3000 (rooms 20, 21), $3050 (rooms 11, 12), 
$3125 (room 7, 10, 13, 14, 15, 16, 17) 
Please indicate your 1st and 2nd choice above.  Full ETR option is $575 less.
Deposit of $600 to hold your spot.  
The deposit is refundable except for $50 up to February 1st.
The deposit is refundable except for $300 up to May 1st.

The balance of $2400 - $2650 is due on May 15th.  
Cancellations after June 1st are subject to a 50% fee if we cannot fill your spot.

(Please make checks payable to "Gear-To-Go") 
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Participant Info:    Captain                                  Stoker
Name: __________________________________ Name: ________________________________
Address: _______________________________ Address: (If Different) ______________
________________________________________ ______________________________________
City: __________________________________ City: ________________________________
State: ________ Zip Code: ______________ State: ________ Zip Code: ____________
Phone: _________________________________ Phone: _______________________________
E-Mail: ________________________________ E-Mail: ______________________________
Emergency Contact: Emergency Contact:
Name: __________________________________ Name: ________________________________
Relationship: __________________________ Relationship: ________________________
Phone: _________________________________ Phone: _______________________________
Tandem make: __________________________ Model: _______________________ Year: ______
Go to Page Two, and print.