Your space on the trip is guaranteed upon receipt of a USD $1,000. non-refundable deposit. The first step is to fill out the reservation form below, and pay your deposit.
First Choice Expedition Date Please Select an Expedition Date ----------2009 Expedition Dates---------- Mountaineering School Mar 6, 2009 to Apr 16, 2009 Mountaineering School Sep 20, 2009 to Oct 31, 2009 Mountaineering School Nov 8, 2009 to Dec 19, 2009 ----------2010 Expedition Dates---------- Mountaineering School Jan 10, 2010 to Feb 20, 2010 Mountaineering School Mar 7, 2010 to Apr 17, 2010 Mountaineering School Sep 12, 2010 to Oct 23, 2010 Mountaineering School Nov 7, 2010 to Dec 18, 2010 ----------2011 Expedition Dates---------- Mountaineering School Jan 9, 2011 to Feb 19, 2011 Mountaineering School Mar 6, 2011 to Apr 16, 2011 Mountaineering School Sep 11, 2011 to Oct 22, 2011 Mountaineering School Nov 5, 2011 to Dec 17, 2011 ----------2012 Expedition Dates---------- Mountaineering School Jan 8, 2012 to Feb 18, 2012 Mountaineering School Mar 4, 2012 to Apr 14, 2012 Mountaineering School Sep 16, 2012 to Oct 27, 2012 Mountaineering School Nov 11, 2012 to Dec 22, 2012
Second Choice Expedition Date Please Select an Expedition Date ----------2009 Expedition Dates---------- Mountaineering School Mar 6, 2009 to Apr 16, 2009 Mountaineering School Sep 20, 2009 to Oct 31, 2009 Mountaineering School Nov 8, 2009 to Dec 19, 2009 ----------2010 Expedition Dates---------- Mountaineering School Jan 10, 2010 to Feb 20, 2010 Mountaineering School Mar 7, 2010 to Apr 17, 2010 Mountaineering School Sep 12, 2010 to Oct 23, 2010 Mountaineering School Nov 7, 2010 to Dec 18, 2010 ----------2011 Expedition Dates---------- Mountaineering School Jan 9, 2011 to Feb 19, 2011 Mountaineering School Mar 6, 2011 to Apr 16, 2011 Mountaineering School Sep 11, 2011 to Oct 22, 2011 Mountaineering School Nov 5, 2011 to Dec 17, 2011 ----------2012 Expedition Dates---------- Mountaineering School Jan 8, 2012 to Feb 18, 2012 Mountaineering School Mar 4, 2012 to Apr 14, 2012 Mountaineering School Sep 16, 2012 to Oct 27, 2012 Mountaineering School Nov 11, 2012 to Dec 22, 2012
First Name
Last Name
Email Address
Birth Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Birth Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Birth Year
Street Address
City
State
ZIP/Postal Code
Country
Day Phone
Evening Phone
How did you hear about us? Please be specific.
Credit Care Type Visa Mastercard American Express
Credit Card Number
Expiration Month 01 02 03 04 05 06 07 08 09 10 11 12
Expiration Year
Security Code
My Billing Address is the Same as my Mailing Address
Yes
Billing Address
Why does this trip appeal to you?
Have you previously taken an adventure travel trip? (please give details)
Please describe your level of experience with outdoor activities (particularly hiking, climbing, mountaineeirng)
Please describe your regular physical activities (please give details, days/week, miles covered, etc.)
Can you swim?
Yes, very well. Yes, I can swim, but not well. No, I can't.
Is there anything else we can help you with? (For Example, do you need help finding acommodation in Coyhaique or making travel arrangements?)
Questions or Comments (also please list here any others in your group for this trip)