theTriLife.com Provence 2010

Personal Details

Forenames

Surname

Address

City

County

Postcode

E-mail

Home Telephone

Mobile

Date of Birth (MM/DD/YYYY)

Travel Details

Travel Insurance Company

Policy Number

Do you require airport transfers? Yes No

Please select your outbound flight EasyJet 5323 Gatwick MarseillesBA 2362 Gatwick Marseilles Other - please call us to discuss

Please select your inbound flight Easyjet 5324 Mars GatwickBA 2363 Mars GatwickOther - please call us to discuss

Other flights please give details here

If not by plane how will you travel?

Training Camp Requirements

Will you require bike rental? Yes No

If yes, what size frame?

Choose your accommodation Single (supplement payable)Twin to shareDouble to share

If sharing, please indicate with whom

Names of other members of your party

Special requirements (dietary or other)?

Medical conditions we should know of?

How did you find us?

How did you hear about us? Word of mouthInternet searchMagazine advertCoached athlete

Are you coached by a TriLife.com coach? Yes No

How have you found the booking process? Easy Ok Complicated Too long!

Payment To confirm your place on the training camp you will need to pay a deposit of £100. The rest of the payment will be due 8 weeks prior to the start of the camp. Please follow the instructions on the website to pay your deposit. Your place on the training camp will be confirmed by email when your deposit has been received.

Terms and conditions read and agreed Yes No

When you are ready submit the form using the button below!