FMC Travel Club - Federated Mountain Clubs of NZ
FMC Travel Club - Federated Mountain Clubs of NZ
FMC Travel Club - Federated Mountain Clubs of NZ
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Registration Form for Iceland 2011:<br />
Complete this form and send to TSN with deposit and passport copy. We need 8 participants to be viable. Maximum<br />
numbers also apply. Please register early so we can ascertain group viability and be fair to others. Remember the $150<br />
discount for registrations received by 30 th November 2010! Registrations close by 31 st January 2011, or before.<br />
My /Our names as shown in passport/s (circle your preferred first name)…………………………………………………………………………..<br />
……………………………………………………………………………………………………………………………………………………………………………………………<br />
Mailing address…………………………………………………………………………………………………………………………………………………………………..<br />
Home phone…………………………………………….Work phone……………………………………………Cellphone…………………………………………<br />
Email…………………………………………………………………………….Date/s <strong>of</strong> birth……………………………………………………………………………..<br />
<strong>Club</strong> affiliation if any……………………………………………………Summarise recent tramping experiences……………………………………….<br />
……………………………………………………………………………………………………………………………………………………………………………………………<br />
……………………………………………………………………………………………………………………………………………………………………………………………<br />
…………………………………………………………………………………………………………………………………………………………………………………………..<br />
…………………………………………………………………………………………………………………………………………………………………………………………..<br />
Dietary requirements, allergies, medical conditions we should know about……………………………………………………………………..<br />
……………………………………………………………………………………………………………………………………………………………………………………………<br />
Contact person in <strong>NZ</strong> for emergencies, name, address, email/phone and relationship to you<br />
…………………………………………………………………………………………………………………………………………………………………………………………..<br />
…………………………………………………………………………………………………………………………………………………………………………………………..<br />
I / We have read the full trip dossier and I / We accept the full booking conditions <strong>of</strong> this trip. I / We enclose My / Our<br />
registration deposit <strong>of</strong> $500 per person. I / We agree to pay the remainder <strong>of</strong> trip costs by due dates, as advised by<br />
invoice. I / We understand the final trip price cannot be guaranteed until final trip payment has been made.<br />
…………………………………………………………………………………………………………………..…signed and dated by each person registering<br />
Send your registration to : John Dobbs, <strong>FMC</strong> <strong>Travel</strong> <strong>Club</strong> Convenor, <strong>Travel</strong> Smart Napier, P O Box 352 Napier 4140.<br />
Ph : 06 8352222 Fax : 06 8354211 Email : john@tsnapier.co.nz
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