Direct Payment in $USD via bank wire (*) using your bank, is the quickest and safest way to guarantee a reservation on the tour date of your choice.

Please contact us, for information about the payment procedure (in case you want to pay with credit card or check)

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Tour Name and Date:	High andes backcountry Legend volcanoes backcountry Two Crosses Powder Argentine Patagonian Powder Select one
Second Choice:	High andes backcountry Legend volcanoes backcountry Two Crosses Powder Argentine Patagonian Powder Select one
Deposit Payment Type:

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NAME :
LAST NAME:
NATIONALITY:
DATE OF BIRTH:
VISA # (If required):
PASSPORT # :
PASSPORT EXPIRATION DATE:
OCCUPATION:
ADDRESS:
CITY:
STATE:
ZIP CODE:
HOME PHONE:
WORK PHONE:
FAX:
E-MAIL:
EMERGENCY CONTACT:
PHONE:
ADDRESS:
RELATIONSHIP TO YOU:
DO YOU HAVE ANY MEDICAL CONDITIONS WE SHOULD KNOW ABOUT SUCH AS DIABETES, ALLERGIES, ASTHMA, EPILEPSY, HEART CONDITION, etc.? IF YES, PLEASE EXPLAIN

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SMOKER?o	Yes No
VEGETARIAN?	Yes No
YOUR HEIGHT
YOUR WEIGHT:
FOOD YOU DISLIKE (ex. Seafood, Italian, etc.):
DESCRIBE ANY FOOD ALLERGIES YOU HAVE:
DO YOU DRINK ALCOHOLIC BEVERAGES?	Yes No

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ON THE PatagoniaPowder TOUR YOU WILL:
SKI	SNOWBOARD	TELEMARK
CIRCLE YOUR SKILL LEVEL: (BE HONEST! The quality of our tours very much relies on a correct assessment of your skill level).
INTERMEDIATE:	You Ski or Board fine, and control your turns in almost all snow types, and slopes.
ADVANCED:	You Ski or Board very well, and you control your turns in all snow types, slopes and weather conditions, including off piste or backcountry.
EXPERT:	You virtually mastered all riding styles at dynamic speed, strong in all snow types, and weather conditions, including steep chutes up to 50 degrees, and have good backcountry experience.
I HAVE EXPERIENCE WITH SNOWSHOES:	Yes No
I HAVE EXPERIENCE WITH AVALANCHE TRANCEIVERS:	Yes No
I HAVE EXPERIENCED WITH CRAMPONS & ICE AXE: Yes No (Describe)
I HAVE EXPERIENCED IN BACKCOUNTRY CONDITIONS: Yes No (Describe)
I HAVE BEEN CAT OR HELISKIING: Yes No (If Yes, which company and where)
BRIEFLY DESCRIBE YOUR SKIING RIDING STYLE AND WHAT A "TYPICAL" DAY IS LIKE FOR YOU IN:
SKI RESORT:
BACKCOUNTRY:

DO YOU ENJOY HIKING TO ACCESS GOOD SNOW AND NEW TERRAIN?	Yes No
I HAVE USED A SKI GUIDE SERVICE IN THE PAST:	Yes No
(If Yes, which company and where)
PLEASE BRIEFLY DESCRIBE YOUR FITNESS LEVEL:

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HAVE YOU TRAVELED TO ARGENTINA AND/OR CHILE BEFORE?	Yes No
IF YOU HAVE BEEN TO ANY SKI RESORTS IN SOUTH AMERICA, PLEASE LIST HERE:
DO YOU SPEAK SPANISH?	Yes No

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WHAT ARE YOUR EXPECTATIONS FOR THIS TOUR?

HOW DID YOU HEAR ABOUT US?

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SIGNATURE:

DATE: