Elbrus booking form

Applicant's full name:

(as in passport)

Street address:

City

Country

Phone

Fax (optional)

E-mail

Date of birth

Please write name of month for clarity

Sex (M/F)

MaleFemale

Citizenship

(Nationality as per passport)

Passport #

Expiration date of PP

Please write name of month for clarity

Arrival date in Russia*

(needed for Visa support)

Departure date in Russia*

(needed for Visa support)

Flight details, both ways. Check dates carefully*

(for Visa support & pick up)

In which country will you apply for your visa?*

Which other places in Russia are you planning on visiting besides the Caucaus*

Clothing size

SmallMediumLargeExtra Large

Climbing and altitude experience

Do you need to rent any gear?

Please specify here (size)

*: can be supplied later, but we cannot start the visa invitation process before we receive this information.

*** Important Notices, Terms and Conditions ***

- Deposit: € 600 should be paid by bank money transfer to our bank account when signing up (within 10 days).

- Payment: Final payment should be paid at least 60 days before the beginning of the tour

Refund, Cancellation and No Shows:

- Land tour cost: For cancellation made not less than 60 days prior to departure date there will be a cancellation fee of € 250+ flight costs if applicable. 7summits.com must be notified in writing (by fax). For cancellation made less than 60 days and more than 30 days, 50% of the Land cost will be charged (+ airfare costs if applicable). For cancellation made less than 30 days (or No Show), 100% of the Land cost will be charged (+ airfare costs if applicable). There will be no refund if a member leaves a trip for any reason either voluntarily or involuntarily after the trip has begun. No refund will be made for any services not utilized.

- Airfare refund: all internal flights purchased are non-refundable.

- Bank expenses: All bank (transfer) expenses will be paid by the client. Please make sure you arrange this with your local bank. When paying by Credit card (through Paypal), 4% will be added.

* Passport, Visa, Insurance. *

- Passport and visa: All members must be in possession of a valid passport and the required visa.

--> 7summits.com and it's local agents will advise and try to assist, but it is client's responsibility to provide the correct documents.

This is important! We cannot promise a visa invitation, it is totally dependent on you, your country of residence, nationality and the situation in the world! You might have to take additional action.

- Insurance: Members must be protected by insurance that covers cancellation, accident, health, emergency evacuation, mountaineering and loss of or damage to baggage and personal effects. For health/evacuation we recommend www.ihi.com

If there are any other specific requirements (dietary etc), please let us know here and we will try to accommodate you

* Emergency contact: * Emergency contact: *

In case of emergency please notify:

Name:
Address:
Phone

* Responsibility:*

7summits.com acts as an agent for transport companies, hotels and other contractors and shall not be held liable for any injury, damage, and loss delay and irregularity that may be occasioned for any reason, including, but not limited to, not getting a visa, any defect in vehicle, any vehicle accidents, the acts or default of any company or person engaged in conveying passengers, acts of God, detention, delay or expenses arising from quarantine, terrorism, war, strikes, thefts, extortion, police or army activities, pilferage, force-majeure, civil disturbances, government restrictions or regulations, accidents by air-craft, boat, bicycle, or any other (non) motor vehicle, or any hotel, inn, restaurant or accommodation, failure of any means or transportation to arrive or depart as scheduled or changes in transit, hotel, inn, guest house or camping service.

* Release and Assumption of Risk: *

I am aware that, during the trip that I am participating in under the arrangements of 7summits.com and its agents and associates, I may be subjecting myself to dangers and hazards, which could result in illness, injury or death. I recognize that such risks, dangers and hazards may be present at any time during the trip. I also am aware that medical services or facilities may not be readily available or accessible during some or all of the time in which I am participating in the trip. In consideration of, and as part payment for, the right to participate in the trip and the associated activities, services and food arranged for me by 7summits.com and its agents or associates, I have and do hereby fully assume all risk of illness, injury or death, and hereby release and discharge 7summits.com and its agents and associates from all actions, claims or demands for injury or damage resulting from my participation in the trip. I agree that the forgoing obligation shall be binding upon me personally, as well as upon my heirs, executors and administrators, and for all members of my family, including any minors accompanying me.

I, the undersigned, insured under Policy by

Insurance Company, hereby release 7summits.com and its staff from relations with the Insurance Company if an accident or injury occurs.

I also acknowledge that I have carefully read this 7summits.com information including its policy on cancelled trips and refunds, fully understand its contents and agree to all stated conditions. I am aware that this is a release of liability and a contract between me and 7summits.com and/or its affiliated organizations and sign it of my own free will.

Date

Place

Signature

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**************** end of 7summits Elbrus booking form ****************

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