Tour Order Form Introductory Instructions... To purchase your tour package please complete the order form below. Use your mouse or the TAB key to navigate between the form fields We accept VISA and MasterCard for payment of the deposit amount (25% of the total due). No charge will be made to your credit card until we have confirmed the details of your order with you and are ready to send your tour materials. The balance of your tour's price is due 60 days prior to your tour's scheduled start date. You may pay the balance of your tour by VISA, MasterCard, or by personal check. See Diverse Directions' Terms & Conditions for additional details. All information will be sent to us via a secure (encrypted) internet connection and will be shared only with the providers of your accommodations. (See our Privacy Policy.) Select Your Tour*Select your TourGreen Mountain Vistas Circuit TourGrafton-Chester Getaway Circuit TourSouthern Vermont River Valleys Circuit TourBrattleboro-Bellows Falls Hub & Spoke TourQuechee Woodstock Experience (A)Quechee Woodstock Experience (B)I. Enter Your Contact Information...1. Enter your first and last name:* First Last 2. Enter the address to which you wish to have your tour materials sent:* Street Address City State / Province / Region ZIP / Postal Code 3. Enter your email address and phone numbers:Email Address* Home Phone*Cell Phone4. Enter Your Emergency Contact:Name*Phone*II. Specify Number of Participants & Tour Start Date...1. Specify the number of tour participants:*Please Select123452. Specify your arrival date at tour starting point:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119203. Would you like GPS navigation files for your tour?SelectYesNoIII. Specify Your Hotel Preferences & Requirements...Instructions: Please select a first, second, and third choice for each of your overnight destinations. View accommodations here. Please select your accommodations for Brattleboro:First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for White River Junction:First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for Windsor:First Choice:Second Choice:Third Choice:Number of Nights:Please select your accommodations for Ludlow :First Choice:Second Choice:Third Choice:Number of Nights:Please select your accommodations for Weston :First Choice:Second Choice:Third Choice:Number of Nights:Please select your accommodations for Perkinsville :First Choice:Second Choice:Third Choice:Number of Nights:Please select your accommodations for Grafton :First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for Chester :First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for Bellows Falls :First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for Chester :First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for Quechee :First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for South Woodstock :First Choice:Second Choice:Third Choice:Number of Nights: Please select your accommodations for Woodstock :First Choice:Second Choice:Third Choice:Number of Nights:1. Select the average daily budget for your accommodations:Select$75-$100$100-$125$125-$150$150-$175$175-$200$200-$225$225-$250$250-$3002. Specify the number of hotel rooms you require for each destination:Select1233. Complete the following for each required room, including your bed type preferences. Room 1: # Persons:Select1234Bed Choice 1:Select1 King1 Queen1 Double2 Doubles2 Twins1 TwinsBed Choice 2:Select1 King1 Queen1 Double2 Doubles2 Twins1 Twins Room 2: # Persons:Select1234Bed Choice 1:Select1 King1 Queen1 Double2 Doubles2 Twins1 TwinsBed Choice 2:Select1 King1 Queen1 Double2 Doubles2 Twins1 Twins Room 3: # Persons:Select1234Bed Choice 1:Select1 King1 Queen1 Double2 Doubles2 Twins1 TwinsBed Choice 2:Select1 King1 Queen1 Double2 Doubles2 Twins1 TwinsIV. List all Tour Participants and their Bike Requirements...Complete the following fields for all members of your party for whom you will be paying. NAME RELATIONSHIP INSEAM PEDALS Edit Delete There are no Entries. Add Tour Participants Please enter your HEIGHT and INSEAM measurements in feet/inches or in centimeters. INSEAM refers to the length of your legs from crotch to floor.How many of your own bikes (if any) will you be bringing for your tour?*012345V. Vehicle Parking Required...?If you'll be arriving at your tour's starting point with your own vehicle or a rental car, you will need to purchase parking for your vehicle for the duration of your bike tour. Secure, long-term parking is available from $5.00 to $20.00 per day depending upon location. Diverse Directions will purchase the required permit on your behalf.Will you require vehicle parking during your bike tour?*SelectYesNoVI. Contract Terms and Conditions...Your order cannot be processed without agreement to Diverse Directions' terms and conditions*We (all tour participants listed above) agree to Diverse Directions' terms & conditions.We do not agree to Diverse Directions' terms and conditions.View Terms & ConditionsVII. Payment Information...Complete the following fields for the credit card you wish to use for payment of your tour deposit as well as any deposits required to secure your accommodations. We will not charge your credit card until we have reviewed your order confirmation with you and sent your tour materials.CC Type:*SelectVISAMasterCardCC Number:*Expiration Month:*Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberExpiration Year:*Select Year2018201920202021202220232024Security Code:*(3-digits on back of card)Name on Card:*Credit Card Billing Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code VIII. Questions and / or Comments...If you have any questions or concerns, please use the box adjacent to communicate them to us. If you wish to add or delete days from the standard tour itinerary, please use this space to provide those specific details.IX. Submit Your Order...Please check the box in the captcha field and then click the SUBMIT ORDER button.CAPTCHA NAME*RELATIONSHIP*SelectSelfSpousePartnerChild 16 Yrs +Child Under 16SiblingFatherMotherUnrelatedHEIGHT*INSEAM*PEDALS*SelectRegularMy Own