Bookings / Daniel Alessio Expediciones

PERSONAL INFORMATION

TRIP YOU WANT TO BOOK:
SURNAME:
FORENAMES:
NATIONALITY:
PASSPORT NUMBER:
PLACE AND DATE OF ISSUE:
DATE OF EXPIRE:
DATE OF BIRTH
ADDRESS FOR CORRESPONDENCE
POSTCODE
CITY
COUNTRY
TELEPHONE NUMBER
FAX NUMBER
OCCUPATION
E-MAIL ADDRESS:

NEXT OF KIN

Name: Telephone:

SPECIAL SERVICES REQUIRED

Single Room Supplement
Vegetarian Preference
Single Tent Supplement

We kindly request you to answer these questions and send it together with
your "Booking Form".

1- Can you describe your previous experience in mountaineering ?

Which is the highest point reached ever by you .?
Where : and when : ?

2- Have you travelled before on trips of this characteristics ?; To which
destination ?; With which Company ?; From where ?

3- Can you describe your level of fitness ?

4- Do you take regularly any medicines ? Are you under medical treatment ? Wich ones ?

5 - How did you hear about DANIEL ALESSIO EXPEDICIONES ?

Sending this "Booking Form" implies that I have declared the true on all the information requested as well as I have read, understood and accept all the "Booking Conditions" and agree to abide by them.