Canusa Cycle Adventure Tours

US to CDN Exchange Cheque rates for 14 may 2008 0600 ET

  Converting 1000.00 U.S. Dollars to Canadian Dollars will yield 980.80 Canadian Dollars.
 
 

Tour Registration Form - 2008

A single supplement may apply if we cannot match you with a room mate
Personal Information
** Must be Entered (Required Information)
Your Email Address: **
Your Name: **
Street Address: **
City: **
Province/State: **
Postal/Zip Code: **
Phone Number: **
Business Phone Number:

In case of Emergecny, Please Notify
Name:
Phone Number:

Travel Information
I will arrive in Calgar/Vancouver via:

If Arriving by Car, Please fill out the hour and date only
Arrival Flight No:
Arrival, At the Hour of:
Arrival,On Date:
Departure Flight No.:
Departure, At the Hour of:
Departure,On Date:

Financial Information
Select Payment Currency: USA CAD
Select Desired Tour:
Select Tour Cost:
Addn'l Inn Accomodation:
T-Shirt:
Souvenir Gem Trek Map:
Helmet Rental:
Sleeping bag w/slip sheet rental:
Bike Rental:
Pl. indicate Bike Size:
Sub-Total-1:
Less Discount:
Sub-Total-2:
Add, 5% GST:
Net Total:
Amount of Deposit:
Date of Deposit:
Balance:
Due On:

Canusa Cycle Tours GST Registration number: 122189939

A receipt will be mailed for all money received

Please use the space below for any comments or concerns and include any medical problems which should be known should a medical emergency occur.