Traveler Info Form

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Traveler Info Form

Trip Location: Ghana

Trip Dates: July 15th -25th , 2024
Contact Us: cycleghana1@gmail.com

Email *

Name *

Cell Phone Number *

Are you traveling with a friend/partner? *

Yes

Required

If so, please tell us who.

Do you have any food allergies or restrictions? *

Yes

Required

If yes, please explain.

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

Single Occupancy

Jersey size , Bib size , T-shirt size

Please Choose a Payment Plan (Make your payment ) *

$500 - Non-Refundable Deposit

Full Payment -$2650 (after $500 non-refundable deposit) by 4/15/24

Payment Plan Option 1- 4 payments of - $690 on 2/15,3/15, 4/15, 5/15,

Payment Plan Option 2- 3 payments of - $910 on 3/15, 4/15,5/15

Payment Plan Option 3- 2 payments of - $1350 on 3/15,4/15

Required

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

Required

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