Sella Ronda Trip Application
February 8-16, 2019

FUND & BANK STAFF SKI CLUB

Note: For a couple or family, each participant must fill out an application below.

Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Status *
Birthday *
MM
/
DD
/
YYYY
Are you *
Singles will be paired if possible with someone of the same gender. If necessary, are you willing to room with someone of the opposite gender? *
Air France or Delta Skymiles number
Your answer
Known Traveler Redress Number (if any)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Do you want a 6-day lift ticket for all SuperSki Pass (Price TBD)
Would you prefer a land only package? (package $1,725) *
Do you want a Post-Ski Package to Venice, Italy (February 16-19) for $525/pp? *
Would you like a single supplement for the Post-Ski Package? ($260/pp) *
Amount paid with Application (balance due by November 1) *
Have you already paid your 2018/19 Club dues? *
I haven't paid, but am sending a separate check for:
I am a: *
Insurance:
The Club recommends that participants purchase sufficient travel insurance and medical insurance as it will not be liable for any injuries caused during the trip or for trip cancellations made by the participant after the cancellation deadline. You can compare and purchase travel insurance at insuremytrip.com.
Upon Pressing "Submit", your application goes directly to Trip Leader:
PLEASE MAIL CHECKS (one for membership dues and another for trip payment) to:
Submit
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