Registration Form – Oman

    BaltiCCycle 2025

    January 19 – February 11

     

    Personal data

    Given names & surname

    Citizenship

    Personal code (if existing)

    Date of birth

    Place of birth

    Passport data

    Passport No.

    Date of issue

    Date of expiry

    Authority

    Address data

    Street address

    City

    Postal code

    Country

    Telephone

    E-mail

    Telephone (emergency contact):

    Membership fee, 30 EUR/day

    (type the chosen number of days, and the registration fee will be estimated automatically)

    01.19 – 02.11.2015:
    days

    Please, enter exact dates when you start and finish the ride:

    Date of start 1

    Date of finish 1

    THE MEMBERSHIP FEE: euro

    I would like to receive a discount*

    (just one of below displayed)

    15% – long term travellers who cycled in the previous BaltiCCycle tours 100 days and more; if a cyclist reaches 100 days during this ride, the discount is counted from that day; students (not more than 26 years old), families (3 and more persons);

    100% – participants who fully prepare some part of the route (maps, descriptions, camps) will NOT have to pay the membership fee for that part of the route and the same number of days in the same ride or the next BC rides or they receive other gratification agreed with organizers;

    special – participants who obtain potential sponsors or support organizers before or during the expedition in another way (preparing the route, driving the support car, etc.) will receive a privilege discount negotiated personally.

    * NOTE: The discounts are applicable only if the registration and half of the membership fee are received by November 19, 2024; otherwise the fee increases by 10% as well. The second part of the fee must be transferred at least 10 days before the start date; otherwise the fee increases by 10% as well.

    Discount details:

    1 I would like to transportat by car my additional piece of luggage (up 15 kg) – 2 EUR / day.
    (the transportation of one standard bag – 20 kg – is included in the registration fee)

    1 I would like to purchase an additional BC2025 T-shirt – 20 EUR / unit.
    (one T-shirt is free of charge for participants cycling 10 or more 10 days)

    Please enter the size of T-shirt:

    no T-shirtSMLXLXXL

    TOTAL PAYMENT: euro

    Your comments:

    I am familiar with the "Conditions of Participation" of the ride and agree with "Rules of Responsibility".

    In 5 days after sending the Registration Form you will receive the Registration Confirmation Letter.

    CROTOS Travellers’ Association
    6-57, Sobieskiego St.
    02-957 Warsaw
    Poland

    ING Bank Śląski
    The Corporation Branch II
    45, Malczewskiego St.
    02-622 Warsaw
    Poland
    IBAN: PL31105010121000009083144163
    PLN account: 77105010411000002305516409
    BIC (SWIFT): INGBPLPW

    ALL BANK REMITTANCE CHARGES MUST BE PAID BY THE PARTICIPANT.

    I confirm that the information provided is correct.

    I hereby agree to the processing of my personal data for the registration purposes in accordance with the Personal Data Protection Act from 10 May, 2018 (Journal of Laws 2018, item 1000), with amendments.