enrollment form

SKI TRIP ENROLLMENT APPLICATION-CHEW

name:

companion name(s):

check here if you will book your own airfare [if you checked this box, leave the next few lines blank and go directly to address line]

departure Airport: - only if you need airfare

If we are issuing your airline tickets , we need your date of birth:

name: DOB:

nam(for airline ticketing purposes, all names must match ID presented at airport) please ensure that all names are spelled correctly on this form!!

address:city:state:zipcode

Email addresshomephoneworkphone

trip location & date: BIG SKY- (MAR.1-8)

property: SHOSHONE SUITES

accommodation type: 1BD SUITE

price: $1090 per person (based on 3 in 1BD)

price includes: ground transfers to and from BZN Airport, 1BD SUITE - SHOSHONE for 7 nights, all taxes

Airfare additional- approximately $490 additional per person out of FLL to BZN

UA1647T 01MAR FLLORD SS3   350P 624P *         T
      OPERATED BY CONTINENTAL AIRLINES
UA3618T 01MAR ORDBZN SS3   801P 1021P *         T
      OPERATED BY UNITED EXPRESS/GOJET AIRLINES
UA3710S 08MAR BZNORD SS3 1252P 455P *         T
      OPERATED BY UNITED EXPRESS/GOJET AIRLINES
UA 112S 08MAR ORDFLL SS3   810P 1214A+*      TH/F
      OPERATED BY CONTINENTAL AIRLINES

Price subject to increase due to increase in base fare prior to booking, airline taxes , fuel surcharges or airport passenger facility charges. All rates are subject to space availability at time of purchase. Space is limited and is on a first come first serve basis.

requested roommates:if different than companion name(s)

special requests:

CREDIT CARD CHARGE AUTHORIZATION

CREDIT CARD   NAME OF CARDHOLDER

     CARD NUMBER EXPDATE

For your security, American Express and MASTERCARD/VISA have instituted additional security measures for their cards.

AMEX CID                   VISA/MC CW2

(CID)This is a four-digit number that appears on the front of your AMEX card, above your card number.
(CW2)This is a three-digit security code that appears on the back of your MC/VISA card in the signature panel, and at the end of card number.

   INITIAL I understand that a deposit equal to 50% of the total package price will be charged to my credit card. I  agree to allow Gary's Ski Tours/Alpine Adventures to charge my ski trip balance on this credit card on or after January 15th.

payments are non-refundable.

CONFIRMATION WILL BE E-MAILED TO YOU WITHIN 15 DAYS OF RECEIPT OF THIS APPLICATION. BALANCE OF TRIP PAYMENT DUE ON JANUARY 15TH.

CANCELLATIONS MUST BE MADE IN WRITING. NO REFUNDS WILL BE GIVEN ON UNUSED PORTIONS OF YOUR PACKAGE.

TRAVEL INSURANCE IS RECOMMENDED.

INITIAL---I have read and agreed to the cancellation penalties.

     SUBMIT THIS FORM BY PRESSING THE SUBMIT BUTTON.

               TO ASSURE RECEIPT, YOU MAY ALSO FAX THIS FORM TO

(954) 252-3936