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Chamois Sport
73450 Valloire
Tel./Fax : +33.4.79.59.02.41
E-mail : info@chamois-sport.com

* these fields must be filled in
Name:
First name:
Address:
Zip:
Town:
Tel.
E-mail:
Arrival:
Day Month Year
Departure:
Day Month Year
Address of your stay at Valloire:

---- Person n° 1 ---

First name: 
Your needs: Ski, Shoes, Sticks, Helmet.

Height:  
Weight: 
Circumference of head (if helmet):   
  
Shoe size: 

Equipment :
Your foot :
     
Skiing level :
Choice of equipment :

---- Person n° 2 ---

First name: 
Your needs: Ski, Shoes, Sticks, Helmet.

Height:  
Weight: 
Circumference of head (if helmet):   
  
Shoe size: 

Equipment :
Your foot :
     
Skiing level :
Choice of equipment :

---- Person n° 3 ---

First name: 
Your needs: Ski, Shoes, Sticks, Helmet.

Height:  
Weight: 
Circumference of head (if helmet):   
  
Shoe size: 

Equipment :
Your foot :
     
Skiing level :
Choice of equipment :

---- Person n° 4 ---

First name: 
Your needs: Ski, Shoes, Sticks, Helmet.

Height:  
Weight: 
Circumference of head (if helmet):   
  
Shoe size: 

Equipment :
Your foot :
     
Skiing level :
Choice of equipment :

---- Person n° 5 ---

First name: 
Your needs: Ski, Shoes, Sticks, Helmet.

Height:  
Weight: 
Circumference of head (if helmet):   
  
Shoe size: 

Equipment :
Your foot :
     
Skiing level :
Choice of equipment :

---- Person n° 6 ---

First name: 
Your needs: Ski, Shoes, Sticks, Helmet.

Height:  
Weight: 
Circumference of head (if helmet):   
  
Shoe size: 

Equipment :
Your foot :
     
Skiing level :
Choice of equipment :

Nb : for more than 6 persons, thanks to complete a second form.

 
Questions :

You have to pay an advance to book definitively this reservation, 15 euros by person.
You can make that by your bank to our bank.
Reference our bank: FR76 1810 6008 1093 3796 1705 070.
CODE BIC: AGRIFRPP881
You can also give us by mail or phone, your credit-card reference the 16 numbers in front, the three last numbers behind and the validity date.

For any information or special rates, don't hesitate to contact us
by mail or by telephone at +33 4 79 59 02 41

Web Conception : Alliance Réseaux