Traveler Info Form (CycleGhana 2026) Cyclist

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Trip Location: Ghana

Trip Dates : July 4th to 14th ,2026

Email*

valid Email :

Name:

Phone Number :

Are you traveling with a friend/partner?

Yes

If yes who?

Do you have any food allergies or restrictions?

Yes

If yes , Please explain. Don't eat pork

Accommodation is double occupancy . Single occupancy comes with additional cost . Check below if you want that option.

Single Occupancy additional $660

Jersey Size , Bib Size , T-Shirt Size - Large men and Large women

Please Choose a Payment Plan After The $500 Non- Refundable Deposit

Full Payment -$2500 (after $500 non-refundable deposit) by 02/15/2026

Payment Plan Option 1- 2 payments of - $1300

Payment Plan Option 2 - 3 payments of - $860

Payment Plan Option 3 - 4 payments of - $650

Payment Plan Option 4 - 5 payments of $525

Other:

Emergency Contact- Please list their full name, relationship, and phone number with area code.

I understand that I need to pay the NON-REFUNDABLE, NON-TRANSFERABLE $500 deposit AND email my payment confirmation (cycleghana1@gmail.com) to secure my spot.

Yes

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