Valdez Heli Camps

Main VHC

Client Registration Form

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Group Name:__________

Client Registration Form
Package 2008 Season

Date: _________________

Please complete this form in full. Fax it back to 907-783-3513 Thank you!

Name: ___________________________

Home Phone:___________________________

Address: ____________________________

Work Phone: ___________________________

___________________________________

Fax: _________________________________

Postal/Zip Code:_______Country: ________

Mobile: _______________________________

What is the best contact method?__________

Email:_________________________________

How did you hear about Valdez Heli-Camps? ______________________________________________

Type:	Alpine Skier	Telemark Skier	Snowboarder
Ability:	Advanced Intermediate	Advanced	Expert

Height:____________ Weight:____________ Date of Birth:____________ Male Female

Do you have medical insurance? YES NO

Insurance Co: ____________________________

Policy # __________________________

Emergency Contact/Relationship:________________________________ Phone: ________________

Please list any medical condition or medication that you are using that that we should be aware of: __________________

______________________________________________________________________________________

Special dietary requirements: _____________________________________________________________________

Single Occupancy? ________________________

Requested Roommate(s): _____________________

VHC Ski Week __________________________

Actual Date(s) of Package: ____________________

**2008 Rates** (All rates are subject to change until confirmed with a 50% deposit. Rates listed USD, per person.)
6 Day / 7 Night Heli Package - double ..................... $6299
4 Day / 4 Night Heli Package - double .......... ……....$4499
3 Day / 3 Night Heli Package - double ...................... $3449
3 Day / 3 Night Cat Package - double....................... $1649
2 Day / 2 Night Cat Package - double....................... $1149
2 Day / 1 Night Cat Package - double........................ $949
4 Day Sound-to-Summit Adventure Package ........... $8999
Private Helicopter Charter ........................... Contract Rates
Heli-Skiing......................................................... $999 / day
Lodging Add-On (meals included) - double ...... $199 / night
Powder Ski Rental – daily................................... $45 / day
Ski Touring Hut ............ $449 first night / $339 addt’l nights
12,500 Vertical Foot Punch Card................................ $549
50,000 Vertical Foot Punch Card.............................. $1899
6 Day / 7 Night Heli Package - single .........................$6799
4 Day / 4 Night Heli Package - single .........................$4849
3 Day / 3 Night Heli Package - single .........................$3849
3 Day / 3 Night Cat Package - single..........................$1999
2 Day / 2 Night Cat Package - single..........................$1399
2 Day / 1 Night Cat Package - single............................$999
6 Day Sound-to-Summit Adventure Package............$12999
Private Snowcat Charter .................................. $2399 / day
Snow Cat Skiing ............................................... $299 / day
Lodging Add-On (meals included)……......single $249 / night
Powder Ski Rental – weekly...........................$239 / weekly
Additional Guide ................................................ $379 / day
25,000 Vertical Foot Punch Card ...............................$999
100,000 Vertical Foot Punch Card ...........................$3299

**Amount Due**
Package & Cost: .....................................................................$ ______________________________
Options ...................................................................................$ ______________________________
Options ...................................................................................$ ______________________________
Lodging Add-Ons$ _______________________________
Powder Ski Rental $45 per/day, $239 per week $ _______________________________
Total with options $ _______________________________
Less Deposit Received $( _______________________________)
Total Amount Due – 90 Days Before Arrival $ _______________________________

**Payment Information**
Check or Money Order (enclosed)	Amount:_________________________
Wire Transfer	Amount:_________________________
Wire transfers should be directed to Valdez Heli-Camps, Inc. in care of KeyBank National Assc. Routing #125200879 Account #720121014271. Please direct your bank to place a request for receiver advice on each wire transfer you send.
Visa or MasterCard	Amount:_________________________
Credit Card Number: ______________________________ Expires: __________
Name as it Appears on Card: _________________________________________
Full Billing Address on Card: _________________________________________
Authorized Signature: _______________________________________________ ** If paying a deposit only, the balance due will be charged to the same card 90 days before the trip start date. Please notify us if you would prefer paying the balance with an alternate method. Your signature on this document signifies your acceptance of our standard policies and terms. Please insure your vacation with adequate travel insurance.

**Travel Arrangements To and From Valdez**
Arrival by Car (please list anticipated arrival times)
Arrival by Air
Arrival Date: ______________________	Departure Date: ______________________
Arrival Time: ______________________	Departure Time:______________________
Flight # __________________________	Flight #_____________________________
Please email, mail or fax your completed form(s) to: Thank You!	Valdez Heli-Camps, Inc. PO Box 2495 Valdez, Alaska 99686 Valdez (907) 783-3243 Valdez Fax: (907) 783-3513 This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
PO Box 2495 • Valdez, Alaska • 99686-2495 907.783.3243 • fax: 907.783.3513 www.valdezhelicamps.com • This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

About Alaska
Heliskiing

Why VHC

Helicopter and
Snowcat Options

Client Registration Form