IBÉRICA COAST TO COAST
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APPLICATION FORMS

APLICATION PROCEDURES AND RESERVATION:

 

 

  • Fill out the application form and send it:
    • E-mail to: info@ibericactc.com
    • Regular mail to: Avda Gredos 1, 05600 El Barco de Avila, Avila, Spain

 

  • IbericaCTC will issue the receipt for you to transfer the fee for your reservation (200 euros)
  • Once the transfer is received, we’ll send you the confirmation
  • The rest of the entry fee must be paid until 30 days before the start of the trip (review cancellation policy).

 

RIDE
Ride:

 

PERSONAL DATA
Name:
Family name:
Birth Date:
Passport number:
Address:
Street:
 Number:
City:
 Zip Code:
Country:
Phone number: Cell : E-Mail:
UCI member? YES
NO
ITU member? YES
NO
Licence number*:
This application is as: Cyclist Non cyclist companion
I travel: Alone With somebody
Name of the person I travel with:
Accommodation in room: Doble Single **

 

DATE OF THE TRIP
Date of the trip:

 

ADITIONAL INFORMATION
Contact person in case of emergency:
Name:
Phone:
Dietary restrictions:
Medical conditions that may affect your performance:
Allergies to medicine: Which:
Other comments related to my health:

 

 

 

* If not member, 70 euros supplement.

** Single supplement 250 euros. 

 

 

  • IbericaCTC will issue the receipt for you to transfer the fee for your reservation (200 euros)
  • Once the transfer is received, we’ll send you the confirmation
  • The rest of the entry fee must be paid until 30 days prior the start of the trip (review cancellation policy).
© Ibérica Coast to Coast – info@ibericactc.com - (+34) 605 392 319 / 920 340 571. Av. Gredos, 1, at. 10. 05600 Barco de Ávila (Ávila-ESP)
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