Online Application Form
First name: Last name: Sex: M F Date of birth: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Citizenship:
Sex: M F
Date of birth: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Address: City: State/Province:
Country: Phone: Mobile Phone:
Tour: Golden Ring adventure July 04-15 2010 Golden Ring comfort August 08-19 2010 Lake Baikal July 6-20 2010 Moscow-St.Petrsburg July 25 - August 4 2010 Other
Other possible dates for the tour (June through September):
Single supplement (in comfort tour) Yes No
Do you need to rent bicycle? Yes No
If yes, specify your height and preferable type of a bike:
Your tourist experience and physical condition:
Ability to ride in one day:
Your reason for participating in this bike tour:
Anything special you'd like to see or do during your visit:
How did you find out about the tour?
Are you a member of any cycle organization?
Which languages can you speak?
Emergency contact (name and phone #):
Your email address: required
Profession:
Hobbies:
T-shirt size: S M L XL
Further information about yourself you'd like to share (special diet, illnesses, etc.), comments, questions:
The application does not oblige you to take part in our tour.
If you have a problem with online application - Download the application form (MS Word)
In case you do not get a confirmation within 3 days contact us, please.
I accept the terms and conditions.