Bicycling Central Cuba Reservation Form Congratulations! You've decided a bicycle vacation is the way to go. We just need the following information from you so we can secure your space(s). Once we’ve processed your reservation, we will send you an email confirmation. If your chosen departure is sold out, we will contact you to discuss alternatives. All information on this page is secure and confidential. Please fill out one form for all people paying together. Tour Information Tour name Bicycling Central Cuba Tour dates Mar 3-10, 2019 Price per person* USD$4795 Deposit per person $500 *Price per person does not reflect discounts that may be applicable. Discounts will be indicated in your Payment Letter that we will email you with your reservation confirmation. There is an additional Private Room Charge of USD$560 for solo travelers requesting their own room. Traveler Information Enter the # of people you are paying for Fill out personal info for EACH person in your party. 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Yes No Enter Next Person » Bicycle Information Our tour prices include the use of a bicycle. If you are not sure which bike style to choose, give us a call. We are happy to assist you in selecting the proper bike type for you. Bike Types BYOB bring your own bike Bike/Rider Assignments Please make sure to fill in all names for your reservation before filling in bike types and accommodation. Name Type of Bicycle Rider's Height in: Inches Cm Name Type of Bicycle Rider's Height - BYOB Inches Cm Accommodations Tours are priced in double occupancy. Please click "Add room" if your party requires more than one room. Room #1 Indicate roommate and select your bed preference. If you are rooming with someone who is booking separately check your bed preference and provide their name in the "Special Accommodations/Considerations" field below. 1 Queen Bed. 2 Twin Beds. 2 twin beds. Find me a companion. Private Room Triple Room: 1 double bed, 1 single. Triple Room, 3 twin beds. Other Add Room Special Accommodations/Considerations Total Deposit Due A deposit of $500 per person is due to secure your reservation. If the tour is sold out, you will not be charged. Instead we will contact you to make other arrangements. Please allow 1-2 business days for us to process your reservation and payment. Deposits for TourzPlus tours will be taken by our partner company. Total deposit due for 1 travelers:* $500 Method of Payment If you are paying your deposit by check, your place on the tour is not secured until payment is received by our office. Check in U.S. Funds Visa Master Card AMEX Discover Copy name and address from Name #1 First Name on Credit Card* Last Name on Credit Card* Card #* Expiration Date (mm/yy)* 3-digit (4-digit for Amex) Vcode* Billing Address 1* Billing Address 2* Billing City* Billing State/Province* Billing Zip Code/Postal Code* Billing Country* Email* If you are paying by check—Make checks payable to ExperiencePlus! and mail to: ExperiencePlus! Bicycle Tours 210 E Oak St. Unit C Ft. Collins, CO 80524 USA Final Payment Final payment is due 90 days prior to departure (120 days for Bike and Boat departures). We will send you a final payment reminder by email prior to the due date. Trips reserved within 90 (120 days for Bike & Boat tours) days of departure will be charged in full. Charge my final payment to the above credit card Contact me for authorization to charge the amount to the above credit card I will send a check You're Almost Done Traveling with Friends? Learn about group discounts. Check this box if you are traveling with others not listed on this reservation. Group or organizer name Attention Re-Cyclers! What is this? Check this box if you or your companions are on your 5th or 10th tour and would like to apply your Re-Cycle Discount. (Please note: Re-Cycle spaces are limited per departure.) Travel Agents—Enter your IATA number: Anything else you'd like to ask or tell us? By clicking the “Sign Me Up!” button below, I hereby authorize ExperiencePlus! Bicycle Tours to charge my credit card (if I have selected this payment option). Before submitting your reservation, I have read and agree to the Terms & Conditions. Payment Processing