Thousand Islands Tandem Tour
Saturday, July 17th to Saturday, July 24th
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
850 W. Clinton St.
Elmira, NY 14905
====================================================================================
Total cost per couple is $1625
Deposit of $400 to hold your spot.
The deposit is refundable except for $50 up to February 1st.
The deposit is refundable except for $200 up to May 1st.
The balance of $1225 is due on June 1st.
Cancellations after June 1st are subject to a 50% fee if we cannot fill your spot.
(Please make checks payable to "Gear-To-Go")
====================================================================================
Participant Info: Captain Stoker
Name: __________________________________ Name: ________________________________
Address: _______________________________ Address: (If Different) ______________
________________________________________ ______________________________________
City: __________________________________ City: ________________________________
State: ________ Zip Code: ______________ State: ________ Zip Code: ____________
Phone: _________________________________ Phone: _______________________________
E-Mail: ________________________________ E-Mail: ______________________________
US Citizen?: ___________________________ US Citizen?:__________________________
Emergency Contact: Emergency Contact:
Name: __________________________________ Name: ________________________________
Relationship: __________________________ Relationship: ________________________
Phone: _________________________________ Phone: _______________________________
Tandem make: __________________________ Model: _______________________ Year: ______
Go to Page Two, and print.