Online Registration: Credit card information may be sent via our secure site when completing the form below. MasterCard and Visa accepted for tour deposits only. (Debit cards not accepted)

Mail-In Registration: Completed registration form and $250 deposit check should be mailed to CrossRoads Cycling Adventures at 8613 S Lewis Way, Littleton CO 80127.

 
Registration Information:
Tour: Year:
First Name:
Last Name:
Street:
City:
State:
Zip Code:
Country:
Phone (Daytime):
Phone (Evening):
Fax:
Email:
Occupation:
If retired, please indicate former occupation.
Retired?
Date of Birth: MM/DD/YYYY
Gender:
Jersey Size:
Accommodations:

How did you find us?
Did you speak to a CrossRoads' alumni before registering for tour?
  If "Yes" please specify:
How many miles do you ride each year?
Do you belong to a bike club?
  If Yes, which Club?
Will you be raising money for a charity?
  If Yes, which charity?
Comments:

Credit Card Information:
Name on Card:
Card Number: Debit cards not accepted
Expiration Date:
CVV: (What is this?)
Amount: $250.00 Deposit (Applied to Tour Fee)

Agreement:
Upon receipt of this form and deposit amount, CrossRoads will reserve a space on the above mentioned tour (based on availability). I agree to abide by all stated obligations and rules associated with any tour for which I register and have read and understand the CrossRoads' cancellation policy posted on the General Information page.