Northumberland Tour
May 15 to 18, 2020
REGISTRATION DEADLINE: APRIL 3, 2020

More information: http://ottawabicycleclub.ca

Accommodation:  Breakers Inn, Coburg, Ontario

The maximum number of participants is 20

Registration Deadline is April 3, 2020, with payment in full.

Cancellation Policy: No Cancellation will be accepted after April 3, 2020.

Cost per person for 3 nights, double occupancy is $231.00 per person. HST included.
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Last Name *
First Name *
Address *
City *
Province *
Postal Code *
Mobile Phone
Day Phone
Evening Phone
Email *
2020 OBC membership *
Previous Participant? *
Have you participated in this tour before?
Riding Level *
Additional passengers
In addition to me, I can provide transportation for the following
Passengers
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Additional bikes
In addition to my bike, I can provide transportation for the following
Bikes
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I would like to room with
Special needs
It is impossible to guarantee special or dietary requirements are met, but every effort will be made to accommodate them
Privacy consent *
I consent to the above uses by the OBC of the personal information I have provided:                                                                       Privacy Statement: The OBC is committed to the protection of your personal information. We recommend you review the Privacy Policy which can be found at the club office and on our website. The personal information that you provide in this touring event application is used by the OBC to verify our membership status,communicate with you and to facilitate your participation in this event. Your gender and age may be used for room assignments. Dietary Preference is used to help the OBC ensure you have access to acceptable food choices for meals included with the event. Your name and contact information may be disclosed to third-party providers of accommodations. If you are the legal guardian of the applicant and/or you are disclosing personal information of family members, you acknowledge having received their prior consent to your representations in this regard.
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Agreement to pay *
I agree that my application will not be considered complete until full payment is received. We will send you a Quick!Books invoice within 2-3 business days of receiving this completed registration form.
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