Registration form Alpine Woche

 Contact information

Salutation:	Mr.Ms.
First name:	*	Surname:	*
Address:		Postcode, city:
Country:
Phone:		Mobile phone:
E-Mail:	*
Language:	GermanEnglishFrench

 Tour information

Tour:	Breithorn Riffelhorn Pollux Monte Rosa Hut Half traverse of the Breithorn Alphubel Wolli Family Hike Castor Gorge Adventure Dufourspitze Fixed rope route Hike to the Hörnli Hut Panoramic Hike*
Tour date:	19 20 21 22 23 24 25 26 June 2010* 1)
No of people:	* people	Private guide:	yesno
1) Reservation without guarantee (weather conditions and conditions on the mountain).

 Accommodation information (apartment/hotel)

Arrival:	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 January February March April May June July August September October November December 201020112012*
Departure:	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 January February March April May June July August September October November December 201020112012*
Accommodation:
Phone:

 Payment details

Payment method:	Cash (desk Alpin Center)
You will receive further instructions by e-mail.

 Remarks

 General terms and conditions

I have read and agree to the General conditions and terms *

 Security numbers: *