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From Ecotopia Biketour Wiki

Registration Form For Events

If you got this form on paper and wish to get the electronical version you can find it along with more information about the Ecotopia Biketour on: www.thebiketour.net

Please fill in this form and send it to: info@thebiketour.net

Biketour 2006, Kratka 26, 100 00 Prague 10, Czech Republic

Personal information:

Name of the organisation:

Contact Workshop holder:

Address:

Postal code:

Country+ town:

Telephone:

Mobile Phone:

Fax:

Website:

e-mail:

Second Contact person:

Address:

Postal code:

Country+ town:

Telephone:

Mobile Phone:

Fax:

Website:

e-mail:

Do you publish a bulletin or magazine and would you be interested in publishing a piece about the Biketour?:

Does the host have connections with any kind of media?:

Short introduction about the event:

Aims and activities from the event:

Extra info about the event:

Is there: (please answer with Yes or No and if possible give a number (of toilets for example)

   * Fireplace to cook & spend pleasant evenings:
   * Wood for the fire:
   * Kitchen with equipment to cook for 60 people:
   * Stove that can heat a very big pot:
   * Place to fit 60 people in sleeping bags:
   * A campground:
   * Toilet(s):
   * Shower(s):
   * Running (drinking) water:
   * Secure bike parking:
   * Electricity:
   * Internet:

Detailed description of the event:

How long

How many people do you expect to join;

Aims and activities;

Programme;

Dangers;

Etc.

Info about the surroundings from the host:

Contacts from bike repair shops:

Name:

Address:

Country+ town:

Telephone:

Website:

e-mail:

Contacts from organic farmers and stores:

Name:

Address:

Country+ town:

Telephone:

Website:

e-mail:

Interesting (cultural, natural, historical, social, ecological) sights to see:

Name:

Address:

Country+ town:

Telephone:

Website:

e-mail:

Interesting (cultural, natural, historical, social, ecological) accommodations:

Name:

Address:

Country+ town:

Telephone:

Website:

e-mail:

Are there people interested in documenting/describing the nicest route from our last accommodation to your place?

Name:

Address:

Country+ town:

Telephone:

e-mail:

Are there people interested in the testing of the proposed route?

Name:

Address:

Country+ town:

Telephone:

e-mail:

In case of an emergency we need to have the following information from you.

Insurance

Name of your insurance company:

Insurance number:

Insurance telephone number:

Emergency contacts

Person 1 to contact in an emergency:

Name:

Address:

Postal code:

Country+ town:

e-mail:

Home phone:

Mobile phone:

Work Phone:

Person 2 to contact in an emergency:

Name:

Address:

Postal code:

Country+ town:

e-mail:

Home phone:

Mobile phone:

Work Phone:

Is there anything else? Clarifications, comments, reservations, suggestions...

This is the place to write them: