Dirty Bikes - Patagonia Cycling Tours & Adventures
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Tour reservation

In order to reserve your space in the tour you have chosen, please begin by filling out the following information. If you are registering a group, please be sure to include each member´s information. Dirty Bikes will confirm your reservation upon receipt of this form, by email, as well as send you a pre-tour info package.

This information will be used for organizational purposes only, and will only be shared with the people or companies that so require the information (hotels, restaurants, transportation, and other parties directly involved with the operation of the tour). As always, remember we can gladly call you on the telephone to discuss any of this in detail.

*For each customer registered in this form, please fill out all of the fields below – if not, the form will not be accepted

Tour name and date  
Tour Name: A value is required.*
Date of Tour: A value is required.*
Number of people: A value is required.*
   
Customer # 1  
Complete name: A value is required. *
Gender:
F
Street address: A value is required.*
City: A value is required.*
State / Province: A value is required.*
Zip / Postal code: A value is required.*
Country: A value is required.*
Telephone (home): A value is required.*
Telephone (work): A value is required.*
Fax:
email: A value is required.*
   
Bike Rental  
I will be renting a bike: *
Bringing my own bike, rental not required: *
Your height:
If renting a bike, please specify model
(see detailed itinerary for model options and rates:
Will you be bringing your own pedals?: No
If we provide the pedals, do you prefer normal pedals or pedals with toe clips?: Toe clips
Any special considerations
regarding your bike?
   
Accommodations  
Type of room requested:
I wil share room, with two twin beds *
Single room, I am paying single supplement *
I am alone, please find me a roomate *
If you are paying for a single room, please specify the type of bed: 2 twin beds
If sharing room,
please indicate name of your roommate:
   
  If you are registering more passengers to this tour, please fill out each field below for each customer. If there are more than 4 passengers in your group, please fill out a second form (by returning to the tour´s webpage, and clicking the “Reserve your Space” button). Otherwise, if you have finished your registration for this tour, you can finish your reservation by clicking here
   
Customer # 2  
Complete name: *
Gender:
F
Street address: *
City: *
State / Province: *
Zip / Postal code: *
Country: *
Telephone (home): *
Telephone (work): *
Fax:
email: *
   
Bike Rental  
I will be renting a bike: *
Bringing my own bike, rental not required: *
If renting a bike, please specify model
(see detailed itinerary for model options and rates:
Your height:
Will you be bringing your own pedals?: No
If we provide the pedals, do you prefer normal pedals or pedals with toe clips?: Toe clips
Any special considerations
regarding your bike?
   
Accommodations  
Type of room requested: *
I wil share room, with two twin beds *
Single room, I am paying single supplement *
I am alone, please find me a roomate *
If you are paying for a single room, please specify the type of bed: 2 twin beds
If sharing room,
please indicate name of your roommate:
   
Customer # 3  
Complete name: *
Gender:
F
Street address: *
City: *
State / Province: *
Zip / Postal code: *
Country: *
Telephone (home): *
Telephone (work): *
Fax:
email: *
   
Bike Rental  
I will be renting a bike: *
Bringing my own bike, rental not required: *
Your height:
If renting a bike, please specify model
(see detailed itinerary for model options and rates:
Will you be bringing your own pedals?: No
If we provide the pedals, do you prefer normal pedals or pedals with toe clips?: Toe clips
Any special considerations
regarding your bike?
   
Accommodations  
Type of room requested: *
I wil share room, with two twin beds *
Single room, I am paying single supplement *
I am alone, please find me a roomate *
If you are paying for a single room, please specify the type of bed: 2 twin beds
If sharing room,
please indicate name of your roommate:
   
Customer # 4  
Complete name: *
Gender:
F
Street address: *
City: *
State / Province: *
Zip / Postal code: *
Country: *
Telephone (home): *
Telephone (work): *
Fax:
email: *
   
Bike Rental  
I will be renting a bike: *
Bringing my own bike, rental not required: *
Your height:
If renting a bike, please specify model
(see detailed itinerary for model options and rates:
Will you be bringing your own pedals?: No
If we provide the pedals, do you prefer normal pedals or pedals with toe clips?: Toe clips
Any special considerations
regarding your bike?
   
Accommodations  
Type of room requested: *
I wil share room, with two twin beds *
Single room, I am paying single supplement *
I am alone, please find me a roomate *
If you are paying for a single room, please specify the type of bed: 2 twin beds
If sharing room,
please indicate name of your roommate:
   
Payment Instructions
  To reserve your place in our tour, we require deposit of 30% of the tour price
please consult our Terms and Conditions for details on full payment (see below). Reservations are made on first come – first served basis.

Please specify the amount of your payment, and choose your method of payment
by clicking on its corresponding box.
   
Payment amount: U$ A value is required.
   
Payment via Paypal
  Transfer funds to the account name: anibalmarasi@dirtybikes.com.ar
* Please be sure to reference your deposit with your name
* Please note: Paypal payments funded from your checking or debit accounts are free of charge; for payments funded from your credit card, there is an extra 4% processing fee, per transaction (please inquire with Dirty Bikes if this is not clear)
   
Payments in Argentina
 

Banco Galicia
- sucursal Bariloche, cuenta # 873/8031/5

Pay to the order of / a nombre de:
- Anibal Daniel Marasi (CBU 007031320000000873853, CUIT 20-22251334-1)

   
  Final Confirmation
  Before confirming your reservation and payment, please read our Terms and Conditions. By submitting this reservation form, you acknowledge to have read and accepted our Terms and Conditions (please note that we also require you print and sign these T&Cs before the start of the tour).
 
I accept the Terms and Conditions for my participation in this tour Please make a selection.
   



*required fields


Would you like to call us or write us?

Our address: Lonquimay 3908, San Carlos de Bariloche, Rio Negro, Argentina 8400
Our telephone from abroad:
+54 (294) 444277
Our telephone in Argentina:
0-294-4442775
Our e-mail: info@dirtybikes.com.ar

 

Dirty Bikes | Patagonia as you want to live it.
Operador responsable Rayantu EVT legajo N* 9085

Tel.: (0294) 444 2743 - San Carlos de Bariloche - Patagonia Argentina