Everest booking form

*** Everest 2012 Booking form *** All prices are in USD!

This is the application for the basic Everest package as detailed on http://7summits.com/everest/trips.php tour period only. Additional services or extensions have to be discussed and priced separately.

Please charge me $39,990for the Everest 2012 Tibet expedition or the respective amount for the support climb as indicated below.

Applicant's full name:
Street address:
City
Country
Phone
Fax
E-mail
Date of birth
Sex (M/F)	MaleFemale
Citizenship
Passport #
Exp. Date
Arrival date in Kathmandu
Flight details (needed for pick up)
Climbing Expedition & altitude experience

*** Important Notices, Terms and Conditions ***

Payment schedule Tibet expedition:

Payment procedure

- Deposit: a non-refundable $5,000 should be paid by transfer to our bank account

- 2nd installment: a non-refundable payment of $5,000 + deposit of 50% for each additionally requested service should be paid before January 1 (non-refundable payments)

- Final Payment: total payment for program and any payments for additionally requested services should be made before February 1

Payment schedule NC/ABC/BC programs only:

Before January 1 you have to pay a non-refundable advance -$1000

Before February 1 you should pay the balance

NOTE:
-IF MEMBER FAILS TO DO THE ABOVEMENTIONED PAYMENTS IN DUE TIME, HIS/HER APPLICATION IS CANCELLED AND ALL PREVIOUS PAYMENTS ARE NON-REFUNDABLE!!!
- ALL YOUR PAYMENTS FOR ANY SERVICE AND EQUIPMENT IS NON-REFUNDABLE, AFTER FEBRUARY 1 !!!
- THERE WILL BE NO REFUND IF A MEMBER LEAVES A TRIP FOR ANY REASON EITHER VOLUNTARILY OR INVOLUNTARILY ! NO REFUND WILL BE MADE FOR ANY SERVICES OR PRODUCTS NOT UTILIZED INCLUDING BUT NOT LIMITED TO OXYGEN!

* Passport, Visa, Insurance. *

- Passport and visa: All members must be in possession of a valid passport and the required visa.

--> 7summits.com and it's local agents will advise and assist, but it is client's responsibility to provide the correct documents.

- Insurance: Members must be protected by insurance that covers cancellation, accident, health, emergency evacuation, mountaineering and loss of or damage to baggage and personal effects.

* Hotel accommodations and food: *

People who occupy single rooms by choice must pay a single supplement fee. Please mark the choices that apply to you:

	I prefer a single room. (extra costs)
	Nonsmoker ?
	Vegetarian?

If there are any other specific requirements, please let us know here and we will try to accommodate you

* Emergency contact: *

In case of emergency please notify:

Name:
Address:
Phone

* Responsibility:*

7summits.com acts as an agent for transport companies, hotels and other contractors and shall not be held liable for any injury, damage, and loss delay and irregularity that may be occasioned for any reason, including, but not limited to, not getting a visa, any defect in vehicle, the acts or default of any company or person engaged in conveying passengers, acts of God, detention, delay or expenses arising from quarantine, terrorism, war, strikes, thefts, pilferage, force-majeure, civil disturbances, government restrictions or regulations, accidents by air-craft, boat, bicycle, or any other (non) motor vehicle, or any hotel, inn, restaurant or accommodation, failure of any means or transportation to arrive or depart as scheduled or changes in transit, hotel, inn, guest house or camping service.

* Release and Assumption of Risk: *

I am aware that, during the trip that I am participating in under the arrangements of 7summits.com and its agents and associates, I may be subjecting myself to dangers and hazards, which could result in illness, injury or death. I recognize that such risks, dangers and hazards may be present at any time during the trip. I also am aware that medical services or facilities may not be readily available or accessible during some or all of the time in which I am participating in the trip. In consideration of, and as part payment for, the right to participate in the trip and the associated activities, services and food arranged for me by 7summits.com and its agents or associates, I have and do hereby fully assume all risk of illness, injury or death, and hereby release and discharge 7summits.com and its agents and associates from all actions, claims or demands for injury or damage resulting from my participation in the trip. I agree that the forgoing obligation shall be binding upon me personally, as well as upon my heirs, executors and administrators, and for all members of my family, including any minors accompanying me.

I, the undersigned, insured under Policy by

Insurance Company, hereby release 7summits.com and its staff from relations with the Insurance Company if an accident or injury occurs.

I also acknowledge that I have carefully read this 7summits.com information including its policy on cancelled trips and refunds, fully understand its contents and agree to all stated conditions. I am aware that this is a release of liability and a contract between me and 7summits.com and/or its affiliated organizations and sign it of my own free will.

Date

Place

Signature

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

**************** end of 7summits Everest booking form ****************

Please print, sign and fax this form to 7summits.com: Fax: +31 84221 3392

The deposit and the remainder of the sum should be transferred to the following address and bank account:

Name:	K.H.Kikstra, 7summits.com
Address:	2e Oosterparkstraat 156-B
Zip code:	1092 BR
City, country:	Amsterdam, The Netherlands
Bank and €uro account#	ABN AMRO bank# 62.91.56.670 (IBAN: NL46ABNA0629156670)
SWIFT code:	ABNANL2A
(Bank address:	Sarphatistraat 47-55 Amsterdam)

Or Pay by CC/paypal to: bookings@7summits.com, request details if needed.

For Paypal payments 11% will be added (in Euro 4%) as this is what Paypal charges, no exceptions!

Thanks very much for your booking.

We hope you will enjoy your trip,

with kind regards,

Harry Kikstra

Director 7summits.com