Trip name - code: -
Date: to
First name (as in passport): *
First name(if different as in passport):
Surname: *
Address: *
ZIP code: *
City: *
Country: *
Telephone private:
Cell phone: *
Email address: *
Occupation:
Date of birth: *
Sex: M F
I travel together with: (name lead person - the invoice will be on this person’s address)
Rooming preferences: (the number of single rooms is limited - a single room supplement may be charged)
Short description of your mountaineering / ski / snowboard experience
Membership number:
Geen Alpine Association (NKBV, CAS/SAC, CAF...) NSkiV Other
Date first rental day:
Body length (cm):
Weight (kg):
Shoesize:
Shoesize in mm:
Rent backpack with avalanche airbag (€ 10 - per day, free for travel from the Bekker Chalet) : Yes, I want an avalanche airbag rent
We automatically reserve a CANCELLATION INSURANCE (see cancellation in our terms and conditions for details). This helps to protect you before and during your trip against cancellation costs. Price: € 5, - policy costs and 6% of the fare.
I do want a cancellation insurance : Yes No
A travel insurance covering search and rescue is compulsory!
I'm already insured with en
Society:
Police number:
Travel insurance with coverage mountaineering (eg search and rescue) is required. Air travel (expeditions) watch worldwide coverage for both travel and accident insurance and health insurance!
Name:
Address:
ZIP - City: -
Phone:
I’d like to pay by credit card: a credit card fee of 3.5% will be added. Your invoice will be sent by mail through Paypal in Swiss Francs (CHF) according to the official monthly exchange rate as used by the Swiss government I’d like to pay by bank transfer: no additional fees
I agree to the general terms and conditions of Edward Bekker Ski & Alpinisme Switzerland Sàrl
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