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CycleWest Ireland Reservation Form

DOWNLOAD OUR BOOKING FORM BELOW AND FAX OR EMAIL TO:

Email: tours@cyclewest.com    Fax number (USA): 1-208 475 8910

pdf icon.jpg (2077 bytes)Booking Form (PDF 126MB)

pdf icon.jpg (2077 bytes)Terms and Conditions (PDF 28KB)

OR COMPLETE THE FOLLOWING ONLINE:
Terms and Conditions 

(We the undersigned have read and agree to the set forth by CycleWest Ireland)

Please complete the following and submit upon completion:
Name of
Participant 1
Name of
Participant 2
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
E-mail
Region of Tour

Guided or Self Led Tour

 Guided Self led   Don't know
Biking / Walking Experience Novice  Moderate  Experienced
Have you taken a self- led bike trip in the past? Never Once   Several

1st Preferred Tour Date:

2nd Preferred Tour Date
Bike Information:
Participant one: frame Men's Frame  Women's Frame
Participant one:  height
Participant one: frame Men's Frame  Women's Frame
Participant one:  height
Height (biking only)
Will you be accompanied children? Yes No
Number of children
Children's ages 3-5  6-8 9-11 12-15
Travelling with a group? Yes No
Accommodation:
We are traveling together and would like:
two twin beds one double bed
I would like to share with another participant
I would like single accommodation
(a single room supplement of €200.00 is added
Age Range
Expected Date of Arrival
Expected Date of departure
Are you celebrating a special event on this trip? If so, what event?
Would you like us to assist with a pre-trip or post-trip extended stay? Yes No

What type of accommodation do you prefer? (Extended stay)		 Luxe  Hotel B&B & Guesthouse
Choose one of the following options:
Now select one of the following options:
Select any of the following activities that  you may be interested in during your tour or extended stay in Ireland

 Horse back riding
Kayaking
Golfing
Health Spa
Hill Walking
Surfing
A selection of the above
Other

A deposit of €200.00 is required for each participant, payable to CycleWest Ireland Ltd., when your reservation is made.  The remaining balance is due 60 days prior to your starting date. 
Payment Method: (US Dollars) Credit Card Check Money Order
Method of Payment: VISA MasterCard
Card Number:
Three digit PIN the 3 digits following your account number on                                the back of your card
Cardholder Name:

Cardholder Billing Address:
(as it appears
on your statement )                 



Address 2

 

City, State and Zip

 
Expiration Date


* I hereby authorize payment to CycleWest Ireland for deposit as listed on Tour Price Sheet, per person, per tour and the remaining balance 61 days prior to tour start date (except where otherwise stated). A receipt will be issued and updated account statement.