June 2017 Hehuanshan - Taiwan Adventures Sign Up Form

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Thanks for signing up for the Nenggao trip with us. Before we can reserve your place, we need you to complete the following information. When we have received your form, we will send you an e-mail with details about payment.

Your name *

As written in your passport

Nationality *

ARC/Passport Number *

Date of Birth *

YYYY

Gender

Male

Female

Clear selection

Address *

Cellphone Number *

E-mail *

Dietary Requirements *

Vegetarian, vegan etc.

Medical Conditions *

Be as specific as possible (allergies, previous injuries, etc)

Emergency Contact *

Emergency Contact Relationship *

Your mother, father, spouse, friend, etc

Emergency Contact Number *

Do you wish to rent a sleeping bag? *

Winter -10C rated sleeping bags - $400NT

Yes

Do you wish to rent hiking poles? *

$200NT each

Yes - 2 poles

Yes - 1 pole

Do you wish to rent tent space? *

You'll be sharing a tent with someone and you can split the tent down to share the weight

Yes

Submit

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