Niagara Country Tandem Tour 2012

Saturday, July 21st to Saturday, July 28th

REGISTRATION

Gear-To-Go Tandems
1 Dahinda Rd
Saranac Lake, NY 12983
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Total cost per couple is $2650 - $2750

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 $2050 - $2150 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: ______