Snowwater Heli Skiing Inc. 2015 SNOWWATER CLIENT
Transcription
Snowwater Heli Skiing Inc. 2015 SNOWWATER CLIENT
Snowwater Heli Skiing Inc. 987 Dogwood Dr. PO BOX 39 South Slocan BC V0G 2G0 TF: 1.866.722.7669 T: 250.359.7665 F: 250.359.7650 www.snowwater.com 2015 SNOWWATER CLIENT CONFIRMATION FORM Your Name ___________________________________________________________________________________________________________________ Group organizer____________________________________________________________________________ Trip # ____________________________ Mailing Address ______________________________________________________________________________________________________________ City _____________________________State/Province __________________Zip/Postal Code _______________Country_____________________ Home Phone Number ________________________________________ Cell Phone Number_____________________________________________ Email _____________________________________________________________ Date of Birth______________________________________________ SPECIAL DIET OR FOOD RESTRICTIONS___________________________________________________________________________________________ Please note – this also includes food that you will not eat, whether or not you are allergic to it. □ □ DO YOU NEED: POWDER SKIS SNOWBOARD Preferred Length: __________________________CM. We do our best to accommodate all snowboard needs. Let us know in advance and we will try to fulfill all needs. SPECIAL REQUESTS (birthday, premium alcohol, etc)_____________________________________________________________________________ MEDICAL CONDITIONS/ALLERGIES/(confidential) ________________________________________________________________________________ EMERGENCY CONTACT INFORMATION PAYMENT INFORMATION Name: A 50% deposit is required to reserve your trip. _______________________________________________ Relationship to you: ____________________________________ Address:________________________________________________ Your final payment will be automatically charged to the same card you used for your deposit, plus a 2.5% processing fee, 90 days before the start of your trip. _________________________________________________________ Credit Card #________________________________________ Phone number(s): Expiry Date____________________ CVC________________ _____________________________________ ________I have read, understand, and accept all Snowwater terms and conditions and cancellation policies. ____________________________________________I have read and understand the Snowwater Waiver (signature required). ____________________________________________I have read and understand that insurance has been recommended. I am responsible for 100% payment of a heli evacuation if I am injured and need to be flown out (signature required). If you get injured prior to your trip, you will not be □ 50% deposit □ 100% balance Signature_______________________________________________________Date________________________ PLEASE SCAN and Email, or FAX back to: 250-359-7650