Order Form

Order Form
Before September 30th 12.5% reduction.
From October 1st until October 31st 10% reduction.
Validity on the postmark date.
If changes
Address
City
Tel Fax
E-Mail
Without insurance your ski-pass cannot be refunded.
Annual 4Vallées Skipass : prices unchanged !
One line per person
Year of
birth
Period
Season 
Name
Annual

Support
Keycard
Swatch
Sector


First name
Season 
Name
Annual

Keycard
Swatch


First name
Season 
Name
Annual

Keycard
Swatch


First name
Season 
Name
Annual

Keycard
Swatch


First name
Season 
Name
Annual

Keycard
Swatch
First name
I wish to collect my ski-passes :

Information desk Médran  Cash desk Savoleyres

 Cash desk le Châble
Cash desk La Tzoumaz
 To receive at home address 
Cash desk Bruson
A supplement will be charged for registered post.
If no mention, please collect your ski-pass in Médran
Ski lockers – Médran
I would like to reserve the following lockers for the 2012/2013
winter season :
•
•
•
•
•
Ski and shoe lockers adult
Ski and shoe lockers child ( ski < 120cm )
Snowboard
Large box ( 90x50x40 )
Small box ( 60x50x30 )
The families who rent ski and shoe lockers for 4 people and more
benefit of one free small box.
Prices in the Pre Season offer brochure, page 22.


Insurance
4Vallées/Mt-Fort
Verbier
Savoleyres/Tzoumaz
Bruson ( 10% reduction )

4Vallées/Mt-Fort
Verbier
Savoleyres/Tzoumaz
Bruson ( 10% reduction )

4Vallées/Mt-Fort
Verbier
Savoleyres/Tzoumaz
Bruson ( 10% reduction )

4Vallées/Mt-Fort
Verbier
Savoleyres/Tzoumaz
Bruson ( 10% reduction )

4Vallées/Mt-Fort
Verbier
Savoleyres/Tzoumaz
Bruson ( 10% reduction )



Amount
Snowcare
Pass Protect
No insurance

Snowcare
Pass Protect
No insurance

Snowcare
Pass Protect
No insurance

Snowcare
Pass Protect
No insurance

Snowcare
Pass Protect
No insurance



SkiPass
Support
Insurance





SkiPass
Support
Insurance





SkiPass
Support
Insurance





SkiPass
Support
Insurance





SkiPass
Support
Insurance

Enclosures ( sent with this form ) :
•
Keycard( s )
•
Swatch Snowpass( es )
If Keycard/Swatch are not sent with this order :
We will charge per person: CHF 5.- for the Keycard
( Reusable but non-refundable )
Payments by credit card only – Please fill in your credit card details
I authorise you to debit my credit card N°
Visa 
Eurocard 
Expiry date
Date
-
American Express 
CVV Code
Signature
By my signature, I confirm that I have read and agree that no refund can be made
without insurance.