Booking | EDWARD BEKKER - Ski and Alpinisme

Trip

Trip name - code:

Date:

Participant

Website :

Given first name (as in passport):

First name(if different as in passport):

Surname:

Address (street, number):

ZIP code:

Town / City:

Country:

Date of birth (dd.mm.yyyy):

Mobile phone:

E-mail:

Gender:

M F X

Lodging

I share my room with(name lead person - the invoice will be on this person’s address):

Room preference (subject to availability – a surcharge applies for single rooms):

Meals:

Condition and experiences

Brief description of your mountaineering, skiing, snowboarding, or mountain biking experience (what, where, when, with whom), as well as what other sports you participate in and how often

I’m participating on

Skis Splitboard

Membership

Alpine Association:

Membership number:

Insurance & medical

Travel insurance covering off-piste skiing, heliskiing, ski safaris and mountaineering – including search and rescue and medical expenses – is compulsory! Cancellation insurance is strongly recommended. As an additional service, we can arrange travel and cancellation insurance for you through Allianz Travel Switzerland, which covers search and rescue in the event of mountaineering and off-piste skiing incidents, as well as cancellations. Read more about this here.

I would like travel and cancellation insurance. Luggage and medical expenses are not covered; Search & Rescue is covered up to a maximum of CHF 10,000. The minimum premium is CHF 15. Premium: 7% (minimum premium CHF 15).

I would like travel and cancellation insurance that covers medical expenses arising from an accident or sudden illness whilst I am travelling. Additional cover includes, amongst other things, luggage and Search & Rescue up to CHF 30,000. Premium: 8% (minimum premium CHF 35).

I don’t want to take out insurance. I’m already insured elsewhere.

Medical conditions, medication and any allergies:

Comments

Comments and any equipment hire (equipment hire is available exclusively for our Signature trips in Switzerland and the Mont Blanc region. For ski hire, please state: body length in cm, body weight in kg, ski boot size, and the length of the sole of your ski boots in mm. Please also state whether you have your own boots or wish to hire them, and whether your own boots have TEC inserts/for pin bindings.):

Emergency contact

Name emergency contact:

Phone number:

Payment

Bank (you will receive an invoice with IBAN bank account number).

Credit card (surcharge 2.5 %).

I hereby confirm that I agree to the general terms and conditions of Edward Bekker Ski & Alpinisme Switzerland Sàrl for trips within Europe, and to the supplementary terms and conditions of travel for private packages and trips outside Europe.

Booking request

Contact

We spreken Nederlands, we speak english, nous parlons français, wir sprechen Deutsch