Bike-Dreams : Lake Victoria Safari
 
Lake Victoria Safari
 

Registration Form "Lake Victoria Safari 2018"

 

Please fill in all fields marked with an asterisk *
You can also download the Brochure and send the filled Registration Form to Bike Dreams.
The Booking Conditions form an essential part of the registration procedure and are inserted in the brochure.

 

First Name*  
Last Name*  
Address*  
Postal / ZIP code*
Town / City*  
Province / State  
Country*  
Telephone*  
Mobile  
Email*  
Nationality*  
Date of Birth*  
Gender* Male
Female
 		  
Tour* Lake Victoria Safari  
        ( or one, two or three sections )  
  Section 1 : Nairobi - Mwanza  
  Section 2 : Mwanza - Kigali  
  Section 3 : Kigali - Kampala  
  Section 4 : Kampala - Nairobi
 
  
Cyclist / Non-cyclist* Cyclist
Non-cyclist
 		  
Shirt size*  (Note)