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to read the booking conditions
Booking Form - Adventure Treks

Please print off this form -
(turn the colour to "black and white" in your printer options),
and post it, or scan and email.

 Christine Ferrieu
184 Chemin des Granges
74400 Chamonix
France

 

Email _____________________________________

Name _____________________________________

Address _________________________________________

__________________________________________

__________________________________________

Zip code ____________________________________

Tel (day) ____________________________________

Tel (eve) ____________________________________

 

Passport no. _________________________

Passport expiry date. __________________

Date of birth _________________________

Nationality __________________________


Special dietary needs:




Medical conditions and allergies:

Insurance details:
A person we can contact while you are on holiday:


by phone
by email		 Flight number and arrival time

I have read and accept the booking conditions in the program.

 date &
signed
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