2008 National Life Group VerMontreal Tour

3-Day Tour Registration

First Name:
Last Name:
Gender:	Male Female
Phone Number:
Email Address:

Shirt Size:	Men's Women's


Emergency contact
Name:
Phone Number:
Relationship to you:

Accommodations Hotel rooms will be a mix of single, double, and triple occupancy. You may list another person(s) with whom you would like to share a room. Otherwise we will match you with a roommate(s) of the same gender.
Desired roommate:
	I would like a private hotel room Saturday night in Montreal (Add $80)

Sandwich choice for Friday lunch
Bread:	White Wheat Roll
Meat:	Turkey Ham Roast Beef Vegetarian
Ingredients:	Swiss Cheddar Provolone Lettuce Tomato Onion Green Pepper Pickles Mayonnaise Oil / Vinegar Mustard

Other choices
Alternate ride:	Check here if you might be interested in an alternative ride on Sunday instead of riding the Tour de L'Ile
Volunteer:	I would be interested in volunteering as a mini-group leader or in another capacity in exchange for a discount on the tour (limited number of volunteer opportunities available)

Payment Tour registration fee is $439. A minimum deposit of $200 is required to register. Please send checks to: Attn: VerMontreal Local Motion One Steele St. Suite #103 Burlington, VT 05401 Your deposit must be received within a week of submitting your registration form to hold your spot. Balance must be paid by May 1. After May 1, registration fees are non-refundable. The tour will occur rain or shine.

Questions or comments?

I understand that to gain entry to Canada, I must have either a passport or a valid picture license + birth certificate. I understand that without this identification, I may be denied entry and it is my responsibility to plan accordingly.

By clicking "Submit," I acknowledge that I have read and agree to the following waiver: Click here to read.