Hotham 5.5
The 16th-21st of July Hotham 5.5

YOU MUST BE A MEMBER TO HAVE A PLACE ON THIS TRIP
Trip powered by LUST

First Name
Your answer
Last Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Mobile Number
Your answer
Preferred Contact Email
Your answer
2017 LUST Member?
Lift Ticket
Hire Gear
Required
Discipline
Skill Level
Room Alocations
I have completed both a current (2017) Emergency Contact Form and a Liability Indemnity Response Form (You will not be allowed to attend this trip if these forms are not completed.)
First Payment Amount $ (Deposit = $300)
Your answer
Balance $ (Amount owed to LUST after First payment)
Your answer
Total $ (Prior to May 1st = $999. After May 1st = $1099. This is due by the June 1st)
Your answer
Did you attend Hotham 5.5 2016?
Payment Options
Currently for online signups, we can only offer Bank Transfers.

For a direct deposit please transfer to:

Latrobe University Ski Team
BSB : 033111
ACC : 106677
Description: Hotham 5.5"your name"

Note that trip spots will not be reserved until payment is sighted.

Submit
Never submit passwords through Google Forms.
This form was created inside of La Trobe University Snowsports Team. Report Abuse - Terms of Service - Additional Terms