Waterfront Trail Leisure Company Inc. - Group Cycling Program Reservation

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Group Cycling Program Reservation
All fields marked with a * are required.

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Program Name: *
Credit Card Type: * Visa MasterCard Amex	Card Number: * Expiry Date: * Validation Code: * What's This?
Name of Person Responsible for Equipment (the Renter): *	Person's Name on Credit Card (If Different than the Renter):
Address: *
City: *	Province/State: *
Postal/Zip Code: *	Country:
Phone Number: *	Drivers License Number: *
Emergency Contact: *	Emergency Phone: *
Email Address: *
Alternate Government ID if no License:	Rider's Height (ft/in): *

Programs
.	Start Date	Finish Date	Program Time	Check	Price	Total
Bicycle Boot Camp - Group* Four Week or Eight Week					$139.99 $279.99	$
Waterfront Ride to Health* Four Week or Eight Week					$139.99 $279.99	$
Personal Bike Discount: I will be using my own bike in the program.	Four Week Discount Eight Week Discount				Less $25.00 Less $50.00	-$
*Ride with a Friend Discount: If two or more friends register for a program at the same time, each friend will receive a 10% discount off the regular program price.	Four Week Discount Eight Week Discount				Less $13.99 Less $27.99	-$
SUBTOTAL: P.S.T.(8%) & G.S.T. (5%): Click to add tax to your order: TOTAL: Please be sure that you have read and agree to the Terms and Conditions
You will receive a return email invoice confirming all details. *Ride with a Friend discount must be claimed at the time of registration. Friend's registration forms must be submitted together to be eligible for Ride with a Friend Discount. If claiming the Ride with a Friend Discount, please list the name of one of the friend's in your group in the space provided.