SKI TRIP ENROLLMENT APPLICATION-DE VRIES

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: 

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: WINTER PARK- (JAN.19-25)

property: ZEPHYR MOUNTAIN LODGE

accommodation type:  1BD/1BTH

price: $670 per person (based on 2 in 1BD/1BTH)

price includes: ground transfers to and from DENVER Airport, 1BD/1BTH- ZEPHYR MOUNTAIN LODGE for 6 nights all taxes

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 AUTHORIZATIONdiscover card logo clipart

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 November 19th.

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 NOVEMBER 19TH.  

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