Tour reservations form for POMG Bike Tours of Vermont

Peace of Mind Guaranteed • Bike Tours of Vermont

Reservations Form

With this form you may request tour reservations and or to be added to our mailing and e-mail list for special promotions and announcements. You may also request specific information and ask questions. Please complete the entire form and then click the "Submit It!" button on the bottom of this page. We will review your request and send a personalized return e-mail with reservation instructions and or answers to your questions.

TOUR INFO
Tour Name:
Tour Date:
Tour Cost:	Promo Code:

ACCOMMODATIONS
I will share a room with: ---------- > I/we prefer:
Solo Travelers:
I would like to share a two-bedded room if possible (supplemental fee required. Fee will be refunded if roommate match is made)
I require a single room (supplemental fee required; space available basis)

RIDER #1 INFO
First Name:	* (required)
Last Name:	* (required)
Address:	* (required)
City:	* (required)
State:	Zip: * (required)
Country:
Date of Birth:
Home Phone:
Work Phone:
Cell Phone:
E-mail Address:	* (required)
How did you hear about us?
If "Other", please explain:
BIKE RENTAL (rider #1)
Will you be renting a bike from us?
If yes, what is your height?
If yes, what type of bike?
SPECIAL CONDITIONS (rider #1)
Do you have any dietary restrictions? Yes No
Please list any dietary restrictions and food allergies:
Do you have any medical conditions or medicinal allergies? Yes No
Please list any medical conditions and medicinal allergies:
Additional Comments:
RIDER #2 INFO
Check this box to add an additional rider.

Note: If you are registering an additional rider and you share the same address, please fill out the fields below. If your additional rider has a different address, please submit this form first and then fill out a separate registration form for your additional rider(s). You will be provided a link back to this form after you submit each rider.
First Name:
Last Name:
Date of Birth:
Work Phone:
Cell Phone:
E-mail Address:
BIKE RENTAL (rider #2)
Will you be renting a bike from us?
If yes, what is your height?
If yes, what type of bike?
SPECIAL CONDITIONS (rider #2)
Do you have any dietary restrictions? Yes No
Please list any dietary restrictions and food allergies:
Do you have any medical conditions or medicinal allergies? Yes No
Please list any medical conditions and medicinal allergies:
Additional Comments:

KEEP IN TOUCH...

Check this box to be added to our special promotion e-mail list & mailing list.

Almost done! Click the submit button to send us your reservation request.