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Ski Tours Application

Fill out and send us the following form below or print and send any other documents by fax to 56-2-2174684
Print the form in PDF and fill out (make sure to include signature) Fax this form along with your deposit to KL Adventure.

Fields mark as * are REQUIRED

* I have read and I accept the:

1. Your desire program:

Ski Arpa 1 Day
Ski Arpa 2 days
Andes Skiing Tour 8 days
Andes and Arpa Cat Skiing Tour 8 days
Andes Ski Safari 18 days
Chile Ski touring 14 days
Andes and Patagonia Ski Touring 16 days
Ushuaia Ski Touring 8 days

Select a date:

Important: this program starts only on Thursdays and Sundays

Important: this program starts only on Sundays

	Andes Ski Safari 18 days from 2010-08-19 to 2010-09-05
	Andes Ski Safari 18 days from 2010-06-24 to 2010-07-11
	Andes Ski Safari 18 days from 2010-07-29 to 2010-08-15
	Andes Ski Safari 18 days from 2010-09-09 to 2010-09-26

	Chile Ski touring 14 days from 2010-08-15 to 2010-08-28
	Chile Ski touring 14 days from 2010-08-01 to 2010-08-14
	Chile Ski touring 14 days from 2010-08-29 to 2010-09-11
	Chile Ski touring 14 days from 2010-09-19 to 2010-10-02
	Chile Ski touring 14 days from 2010-10-03 to 2010-10-16

	Andes and Patagonia Ski Touring 16 days from 2010-08-22 to 2010-09-06
	Andes and Patagonia Ski Touring 16 days from 2010-09-12 to 2010-09-27
	Andes and Patagonia Ski Touring 16 days from 2010-09-30 to 2010-10-16
	Andes and Patagonia Ski Touring 16 days from 2010-08-01 to 2010-08-16

	Ushuaia Ski Touring 8 days from 2010-09-26 to 2010-10-03
	Ushuaia Ski Touring 8 days from 2010-09-12 to 2010-09-19
	Ushuaia Ski Touring 8 days from 2010-08-22 to 2010-08-29
	Ushuaia Ski Touring 8 days from 2010-09-19 to 2010-09-26
	Ushuaia Ski Touring 8 days from 2010-09-05 to 2010-09-12
	Ushuaia Ski Touring 8 days from 2010-08-29 to 2010-09-05

2. Client Information

Name:

Address:

City:

State:

ZIP / Postal Code:

Country:

Other Country:

Home Phone:

Work Phone:

Mobile Phone:

Email:

Occupation:

Passport Nr:

Issue Date:

Expire Date:

Nationality:

Age:

Date of Birth :

* (Month, DD, YYYY)

Height:

Weight:

Shoe Size:

Blood group / Rhesus factor:

3. Emergency contact

Name:

Home phone:

Mobile phone:

Relation:

Email:

Address:

City:

State:

Zip code:

Country:

Other country:

4. Medical Information

Known allergies or incapabilites:

Yes No *

Previous important medical problems & history:

Yes No *

Emergency medicine for known problems:

Yes No *

Any disability or problem KL needs to know:

Yes No *

5. Ski experience*

I am a:

Skier Snowboarder Telemarker Other

Ski level:

Begginer Intermediate Advance Expert

Skiing Ability level (Please chose with 5 being the top level of ability):

Steep Terrain
Powder
Variable snow
Ski resort slopes

Skills & Interests:

6. Special requirements

Diet Special Requirement:

Yes No *

Single Room Hotel Reservation
Note: Single supplement concern ONLY hotel booking and NOT the single tent use during the trekking programs. Please contact us in case you desire a single tent supplement all time.

Skis Equipment:

Yes No*

	Product	US $
	Performance full ski equipment (ski-boots-poles)	$ 18,000 / US $ 33
	High performance full ski equipment (ski-boots-poles)	$ 22,000 / US $ 40
	DEMO Premium ski equipment (ski-boots-poles)	$ 25,000 / US $ 45
	Burton Snowboard (board & boots)	$ 18,000 / US $ 33
	Children ski equipment (ski-boots-poles) 12 years	$ 10,000 / US $ 18
	Touring Ski Set (ski-boots-skins-crampons)	$ 25,000 / US $ 45

Days	Prices
2 days	$ 19,000 / US $ 35
3 days	$ 28,000 / US $ 51
4 days	$ 37,000 / US $ 67
5 days	$ 46,000 / US $ 84
6 days	$ 54,000 / US $ 98
7 days	$ 62,000 / US $ 113
8 days	$ 70,000 / US $ 127
9 days	$ 77,000 / US $ 140
10 days	$ 84,000 / US $ 153
11 days	$ 91,000 / US $ 165
12 days	$ 96,000 / US $ 175
13 to 18 days	$ 100,000 / US $ 182
	Hide list

KL Expeditions strongly recommends that you sign up for a Global Rescue membership for the length of your trip. Global Rescue is a medical evacuation provider that is capable of rescuing you from our remote locations and bringing you back to your home country hospital of choice. Their phones are staffed 24/7 by paramedics which are backed by over 2400 specialists from Johns Hopkins Medicine. For more information and to receive a 10% discount upon signing up, visit www.globalrescue.com/kl.

Travel Guard, Travel Insurance

7. How did you learn about KL Adventure?*

	*Enter the left numbers
	*Required Fields

KL Adventure SA

Ski Tours, Heliski, Expeditions & Treks in the Andes.
Aconcagua - Atacama Desert - Torres del Paine - Ojos del Salado - Mt. Vinson Antarctica & Bolivia mountains.

Head Office: Augusto Mira Fernandez 14248, Las Condes, Santiago, Chile
Phone: (56-2) 217 9101
Mobile: (56-9) 9 018 22 55 - Fax: (56-2) 217 46 84

Call Us Locally from 09:00 to 17:00 Hrs (Chile time)

Current Chile Time:

All Photos taken by Joaquin Oyarzún, except indicated as * -

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