Reservation Form

"*" indicates required fields

Tour Name

Start Date

End Date

Price Per Person

Price:

Price per person does not reflect discounts that may be applicable. Discounts will be indicated in your Invoice Summary that we email you with your reservation confirmation. Please view our Terms & Conditions for more information.

Single Supplement

Price: $0.00

Additional Private Room Charge for solo travelers requesting their own room.

Deposit Per Person

Price: $0.00

The deposit is per person and will secure your reservation. Final payment is due {paymentTerms} days prior to departure. You will receive a final payment reminder asking for your payment preferences by email prior to the due date. We also offer a way to {qualifyForDiscount} on your final payment. {shortTermNotice}

Hidden

Zero

Multiplier for price per person when calculating form total amount. Set to 0 since the total amount is the deposit times the number of travelers

Please enter a number greater than or equal to 0.

Traveler Information

Fill out personal information for EACH person in your party.

Traveler

Name*

First Last

Date of Birth*

Gender

Auto populate

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (Primary)*

Phone (Secondary)

Email*

E-Newsletter

Subscribe this traveler to our emails?

Yes

Bicycle Information

For bicycle type, please select a preference for each traveler (if bringing your own, please select BYOB). If you are not sure which bike style to choose, let us know – we are happy to assist you in selecting the proper bike type for you. Please note you might not receive the exact bike displayed on this form but will receive a similar bike. Visit the bikes page for more information. E-bikes have an additional charge.

Rider's Height

Please put total inches or centimeters, not feet and inches.

Measurement Unit

inches

Bicycle Type

Pedal Type

Additional Bike Notes

Accommodations

Tours are priced in double occupancy. Please click "Add room" if your party requires more than one room.

Room

Select a Room*

Occupants

autopopulate

Name of Roommate Booking Separately

Hidden

Accommodation Considerations

Special Accommodations/Considerations

You're Almost Done

Traveling with Friends?

Learn about group discounts

Group or organizer name

Travel Agent IATA number

Attention Re-Cyclers

What is this?

Check this box if you or your companions are on your 5th or 10th tour and would like to apply your Re-Cycle Discount. (Please not: Re-Cycle spaces are limited per departure.)

Anything else you'd like to ask or tell us?

Payment

Trip Total

Total Due now

*Total Amount may not reflect any discounts, including Re-Cycle Program discounts. Your invoice will reflect any applicable discounts.

Name of Person Paying*

Email Address of Person Paying*

Select Payment Method*

*If paying by credit card, you will be submitting a payment authorization for $0.60. We will charge the amount due now once space is confirmed on your trip in a separate transaction.

Credit Card

Bank Wire or Check in US Funds

Wire Information:
Account holder: EmPG International LLC
Bank: First National Bank
Bank Address: 205 W Oak St., Fort Collins, CO 80521
SWIFT: FNBOUS44FTC
Routing number: 107000262
Account number: 43062359

Check Information:
The check MUST include Tour Name in the memo. Your place on the tour is not secured until payment is received by our office.
Make checks payable to ExperiencePlus! and mail to: ExperiencePlus! Bicycle Tours 409 Mason Ct, Unit 127 Fort Collins, CO 80524