 | |  | |  | |  | |  | |  |
Registration Form: Adventures to the Edge, ltd.
Jean Pavillard mountain guide
Po Box 91. Crested Butte Colorado, 81224, USA
Tel: 970-209-3980. Fax: 1-509-471-8412.
jean@jpmountainguide.com.
www.swissmountainguide.com
Registration form. 2009 (2 pages)
First Name:……………… Last Name: ……………………………….
Mailing Address:………………………………………………………………………
City, State, Zip code:……………………………………………………………………
Tel:…………………………… Tel:…………………………………………..
Fax:…………………………… Email:……………………………………….
Tour, Program, Expedition
Name of program (or code):………………………………………………………….
Dates:……………………………………………………………………………………
Total trip fee: …………… Deposit ( 25%):…………….
Balance due date: ……………………… Balance due (75 %): ……………………
Payment:
Credit card type:………………….. #:……………………………………………
Exp date:……………………………… Security code: ………………………………
If paid by Check # : …………….. ( write check to Adventures to the Edge.)
Deposit & Payment schedule:
In order to secure your place in a program, tour, expedition, a deposit of 25% of the total fees is due at the time of
registration. We cannot hold your place without this deposit. The balance is due 60 days prior to the starting day of the tour,
program or expedition. For registration after the balance due date, full payment is due at the time of registration. If
payment is not received by the due date and other arrangements are not made with us, we reserve the right to consider
your registration canceled.
Cancellation & refund policy:
If you cancel your enrollment for any reason, the following policy applies:
• Cancellation occurring after the balance due date will result in a complete forfeiture of all payment and deposit. The
only exception to this occurs when we have somebody waiting to take your place, in which case we will refund all payment
and deposit less a cancellation fee of $ 200.
• If you cancel your enrollment before the balance due date you will receive a refund of all payment and deposit less a
cancellation fee of $ 200.
• If we cancel a trip due to inadequate registration you will receive a full refund of all payment and your deposit. With
the exception of our trip fees, we are not responsible for other expenses you might incur (such as nonrefundable airline
tickets or other travel and work arrangements) in the event that we cancel a trip.
Trip cancellation, interruption & Emergency Evacuation Insurance:
In order to protect yourself from the loss of nonrefundable fees we strongly recommend you purchase trip cancellation
insurance. This type of insurance will allow you to recover fees resulting from cancellation due to personal or family illness
occurring before or during the tour, program or expedition. Most type of trip insurance also allows recovering
nonrefundable travel expenses in the event that we are to cancel due to inadequate registration. Emergency evacuation
insurance, often included with trip cancellation, covers the normally very high cost of evacuation from remote mountainous
areas. We strongly recommend that participants contact such insurance; they are available through your insurance or travel
agent or check our website links.
www.Worldtravelcenter.com // www.medjetassistance.com
Conditions of Participation:
There are a number of conditions required for participation in our programs, tours and expeditions. These include, but are
not limited to: 1/ agreement with and understanding of the cancellation and refund policy. 2/ an acknowledgement of the
requirement to read understand and sign an Assumption of risk and release of liability form which will be sent to you upon
registration. You may request a copy in advance
I have read and agree to the conditions of the cancellation and refund policy set forth in this registration form. I
acknowledge and agree that as a precondition to my participation in the program, tour or expedition for which I am
registering I will be required to read, understand and sign a comprehensive assumption of risk of liability form a require by
Adventures to the Edge, ltd. Jean Pavillard mountain guide.
Signature of Participant:__________________________date:_______________________
Adventures to the Edge, ltd. Jean Pavillard mountain guide. Po Box 91, Crested Butte Colorado, 81224
Ph: + 1-970-209-3980 / fax: + 1- 509-471-8412 / jean@jpmountainguide.com
Jean Pavillard mountain guide
Po Box 91. Crested Butte Colorado, 81224, USA
Tel: 970-209-3980. Fax: 1-509-471-8412.
jean@jpmountainguide.com.
www.swissmountainguide.com
Registration form. 2009 (2 pages)
First Name:……………… Last Name: ……………………………….
Mailing Address:………………………………………………………………………
City, State, Zip code:……………………………………………………………………
Tel:…………………………… Tel:…………………………………………..
Fax:…………………………… Email:……………………………………….
Tour, Program, Expedition
Name of program (or code):………………………………………………………….
Dates:……………………………………………………………………………………
Total trip fee: …………… Deposit ( 25%):…………….
Balance due date: ……………………… Balance due (75 %): ……………………
Payment:
Credit card type:………………….. #:……………………………………………
Exp date:……………………………… Security code: ………………………………
If paid by Check # : …………….. ( write check to Adventures to the Edge.)
Deposit & Payment schedule:
In order to secure your place in a program, tour, expedition, a deposit of 25% of the total fees is due at the time of
registration. We cannot hold your place without this deposit. The balance is due 60 days prior to the starting day of the tour,
program or expedition. For registration after the balance due date, full payment is due at the time of registration. If
payment is not received by the due date and other arrangements are not made with us, we reserve the right to consider
your registration canceled.
Cancellation & refund policy:
If you cancel your enrollment for any reason, the following policy applies:
• Cancellation occurring after the balance due date will result in a complete forfeiture of all payment and deposit. The
only exception to this occurs when we have somebody waiting to take your place, in which case we will refund all payment
and deposit less a cancellation fee of $ 200.
• If you cancel your enrollment before the balance due date you will receive a refund of all payment and deposit less a
cancellation fee of $ 200.
• If we cancel a trip due to inadequate registration you will receive a full refund of all payment and your deposit. With
the exception of our trip fees, we are not responsible for other expenses you might incur (such as nonrefundable airline
tickets or other travel and work arrangements) in the event that we cancel a trip.
Trip cancellation, interruption & Emergency Evacuation Insurance:
In order to protect yourself from the loss of nonrefundable fees we strongly recommend you purchase trip cancellation
insurance. This type of insurance will allow you to recover fees resulting from cancellation due to personal or family illness
occurring before or during the tour, program or expedition. Most type of trip insurance also allows recovering
nonrefundable travel expenses in the event that we are to cancel due to inadequate registration. Emergency evacuation
insurance, often included with trip cancellation, covers the normally very high cost of evacuation from remote mountainous
areas. We strongly recommend that participants contact such insurance; they are available through your insurance or travel
agent or check our website links.
www.Worldtravelcenter.com // www.medjetassistance.com
Conditions of Participation:
There are a number of conditions required for participation in our programs, tours and expeditions. These include, but are
not limited to: 1/ agreement with and understanding of the cancellation and refund policy. 2/ an acknowledgement of the
requirement to read understand and sign an Assumption of risk and release of liability form which will be sent to you upon
registration. You may request a copy in advance
I have read and agree to the conditions of the cancellation and refund policy set forth in this registration form. I
acknowledge and agree that as a precondition to my participation in the program, tour or expedition for which I am
registering I will be required to read, understand and sign a comprehensive assumption of risk of liability form a require by
Adventures to the Edge, ltd. Jean Pavillard mountain guide.
Signature of Participant:__________________________date:_______________________
Adventures to the Edge, ltd. Jean Pavillard mountain guide. Po Box 91, Crested Butte Colorado, 81224
Ph: + 1-970-209-3980 / fax: + 1- 509-471-8412 / jean@jpmountainguide.com
 |  |  |  |  |  |
HOME
