Itinerary Request Form
First Name *
Your answer
Last Name *
Your answer
Email *
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Phone number *
We won't call you unless you ask us to.
Your answer
Address
Your answer
Mailing Address:
Your answer
City
Your answer
State or Provence
Your answer
Zip or Postal Code
Your answer
A Few Details To Get Us Started:
Would you prefer that a tour coordinator also call you to assist you?
My Travel Dates are:
Preferred first day of riding:
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DD
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YYYY
Second choice of start date:
MM
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DD
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YYYY
Third choice of start date:
MM
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DD
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YYYY
Will you need lodging for the night prior to your start?
Preferred lodging style:
Number of People:
Your answer
Number of Rooms:
Your answer
Preferred lodging configuration:
Mixed Bed Preferences:
Your answer
What is your preferred length of stay?
Your answer
Now The Fun Part!
Please Provide Us With Some Additional Information So We Can Assist You In Choosing Or Customizing a Tour
Which of these most describe the experience you’re looking for:
(You'll also be able to give us more information below)
How many of each type of rider will participate?
Beginner -
Rides a bike occasionally-Basic Bike Skills - Experienced riding on less busy public roads-Good physical fitness- exercises regularly-Comfortable riding up to 25 miles
Your answer
Moderate -
Rides at least a few times a month-Good cycling skills - Experienced with some varying terrain and traffic conditions-Good physical fitness - exercises regularly-Comfortable riding up to 30 miles
Your answer
Intermediate -
Cycles about once a week or more on average-Good cycling skills - Experienced on more challenging terrain and few busier traffic areas-Good to Very Good fitness - exercises regularly-Comfortable riding up to 45 miles
Your answer
Advanced -
Cycles more than once a week- Excellent cycling skills - Experienced on most types of challenging terrain and traffic - Very Good fitness - rides and or exercises most days - Comfortable riding 50 or more miles
Your answer
And The Bikes Of Course!
What type of bike would you prefer to use for your tour?
And Finally...
Please add any additional information that will assist us in planning a wonderful tour for you:
Your answer
Is there a tour you've already seen on our website that you are particularly interested in?
Would you mind telling us how you heard about us?
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This form was created inside of Wine Country Bikes.