Name of Trip For our Day Trip to the Loire, please fill out one of these trip-specific applications:
Train + Bike, or Train + Bus.
Connecting Trip(s)
Departure Date
If your trip offers multiple versions (ex: Tour de France), please specify version here
Your Name
Birth Date

Sex: MF

 Citizenship: If Other, please specify:

Mailing Address
Other Address, if applicable
e.mail
Phone (day)
Phone (evening)
Phone (cell)
Please tell us if you have a medical condition of which we should be aware
Do you have any dietary restrictions?
How did you hear about us?
If on the internet, we'd be grateful if you could take a stab at where. If at school, which one?

YOUR BICYCLE (if it’s one of ours)
Bike Size, if known OR Your Height & Inseam Measurement
Inseam is measured from crotch to top of the arch of your foot, along the inside of either leg.
Style

Choose One:
Men's Racing Men's Upright Choose my bike for me in function of my trip (i.e. “I don't give a hoot.”)
Women's Upright Bringing My Own
If you have selected a bike style, and it is not available, would you prefer that we select an alternate style or return your deposit? Check one: Alternate Style Return Deposit
Outfitting Our Bike
If you're bringing your own saddle or pedals, and would like our bike suppied without them, check as appropriate.
If you wish your bike equipped with toe cages, check that.
No Saddle No Pedals Toe Cages

ACCOMMODATION
Solo Travellers: Private Single Room? (Supplement required). Yes. No.
If no, you will be in your “gender pool,” rooming with others willing to share (no additional cost).
Couples, Friends Travelling Together: Please check the room type you prefer:
Double (one double bed – may be twin beds pushed together in germanic countries)
Twin (2 single beds)
Triple (3 single beds)
Name of roommate(s):
All Guests: Do you wish a guaranteed private shower / bath? (Supplement required).
Yes. No.

FLIGHT INFO, or info concerning “Access Packages” (if known)

FINANCIAL SUMMARY (see “Detailed Prices”)
TRIP (includes bike rental & shipping)
() If applicable, this sum is subtracted from the running total.
Baggage Transfer
Please rank your choices in order of preference:
1st Choice: Daily Half Lite None
2nd Choice: Daily Half Lite None
3rd Choice: Daily Half Lite None

OR

“If none of my higher ranked choices are offered, cancel my trip participation by (cut-off date):”
Baggage Transfer Cost
Please fill in the amount corresponding to your 1st choice service. Your final invoice will, of course, reflect the service actually provided.
SUB-TOTAL, Trip
OPTIONAL ADDITIONS
Cancellation Waiver
• Medical, 4%
• Job/Medical, 10%
• No Questions 18%
of SUB-TOTAL
Cycle Insurance
Air Tickets
Bike & Shipping
(Included in $ prices)
Other Charges Please specify
GRAND TOTAL DUE
PAYMENT ENCLOSED
BALANCE DUE
I, the undersigned, have carefully read, understand, and accept the terms and conditions presented on the 2008 Blue Marble Travel web site, and especially “What's Included,” “Commitment Issues,” all pages pertaining to my trip, and appropriate pages linked from those.

I agree that photos taken of me during my trip may be used in Blue Marble publicity material without any compensation, other than the attendant fame :-).
Date & Signature
Please return to:

Blue Marble, 350 Ramapo Valley Rd., Suite 18-131, Oakland NJ 07436, USA
or
Blue Marble, 2 rue Dussoubs, 75002 Paris, FRANCE