Tour de Thailand Rider Registration - Step 1 of 3

Registration is $795 (or $495 for half the tour) and is payable by PayPal or credit card. You will be directed to the PayPal site to make your payment on completion of the Rider Registration forms. You do not need a PayPal account to pay by credit card; PayPal accepts all major credit cards.

All riders are required to raise a minimum of US$ 2000 in donations for riders participating in the entire Tour and a minimum of US$ 1,000 for riders participating in either half of the Tour. Donations are due by November 30th, 2008.

Thanks to the generosity of our sponsors, 100% of all donations will go directly to the charities.

Please fill out the form below.

 

First Name * Required
Last Name * Required
Age
Sex Male
Female
Jersey Size
Mailing Address 1
Mailing Address 2
City
State / Province
Postal Code
Country
Day Phone
Evening Phone
Email * Required
Emergency Contact
Contact Phone
Participation Entire Ride (Dec 8th to Jan 5th) $795
North Half (Dec 8th to Dec 22nd) $495
South Half (Dec 22nd to Jan 5th) $495
Bike Rental No Bike Rental Necessary
Half Ride (2 week rental, US$ 100)
Full Ride (4 week rental, US$ 200)
Single Supplement I am OK with Sharing a Room (No Charge)
Half Ride (US$ 300)
Full Ride (US$ 600)
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