BaltiCCycle 2015

An Eye on Morocco

February 17 – March 9

REGISTRATION FORM

Personal data
Given names & surname
Citizenship
Personal code (if existing)
Passport data
Passport No.
Date of birth
Place of birth
Date of issue
Date of expiry
Authority
Address
Street
City
Postal code
Country
Telephones
E-mail
Chosen parts of the route / membership fee*
(sign with mouse left-click button the chosen route and type the number of days; the registration fee will be estimated automatically)
CountryDatesNumber of days*Membership fee € per day
Route17 € per dayTOTAL
Morocco17.02 - 09.0321
TOTAL17.02 - 09.0321
Please enter the exact dates when you start and finish the ride.
Date of start
Date of finish
I would like to receive a discount:
(one of below displayed)*
no discount.
10% – pupils and students (not more than 26 years old), and families (3 and more people);
15% – BC participants who cycled 100 days and more with us in BC history (2003-2014); if a participant reaches 100 days during the ride, the discount is calculated since that day;
100% – participants who fully prepare some part of the route (maps, descriptions, camps) will NOT have to pay membership fee for the part of the route they prepared and for the same length of the route according to the day range in the other place of the route;
Privilege (negotiation) Discount – for participants who obtain potential sponsors and who help organizers before or during the ride (being a doctor, a serviceman etc.).
Data for discount:
TOTAL WITH DISCOUNT 0
I would like to use the van transportation of my bicycle and luggage from Lithuania or Poland to Morocco and/or backwards (70 € one way)*.
The number of places for this service is limited, and the priority will be given to those who register first and pay a half of the membership fee till January 9, 2015.
no
to (70 EUR)
back (70 EUR)
both ways (140 EUR)
I would like to book a ticket for ferry.
no
Barcelona–Tangier (15.02, 23:59 – 17.02, 10:30) - 85 EUR
Tangier–Barcelona (10.03, 17:00 – 11.03, 20:00) - 85 EUR
both ways - 160 EUR
I would like to use the transportation service for my additional piece of luggage during the ride – 2 € per day
(no more than 20 kg; one 20 kg standard bag is included in the registration fee)
I would like to buy an additional BC2015 t-shirt (10 EUR per unit). One is for free.
FULL PAYMENT: 0
Your comments
I confirm that the information provided is correct.
I hereby agree to the processing of my personal data for the registration purposes in accordance to the Personal Data Protection Act from 28 August, 1997 (Journal of Laws No 101, item 926).

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