First name

Last name

Title
Mr Mrs Miss Dr Ms Prof Other
Work phone

Home phone

Mobile

Email


Week Commencing: Iamato - 3 January 2009 Iamato - 11 January 2009 Iamato - 18 January 2009 Iamato - 1 February 2009 Iamato - 8 February 2009 Iamato - 15 March 2009 Iamato - 22 March 2009 Iamato - 19 April 2009 Kouneli - 20 December 2008 Kouneli - 1 February 2009 Kouneli - 8 February 2009 Kouneli - 22 February 2009 Kouneli - 8 March 2009 Kouneli - 15 March 2009 Kouneli - 22 March 2009 Kouneli - 12 April 2009 Olympie - 13 December 2008 Olympie - 3 January 2009 Olympie - 11 January 2009 Olympie - 18 January 2009 Olympie - 25 January 2009 Olympie - 8 February 2009 Olympie - 22 February 2009 Olympie - 1 March 2009 Olympie - 8 March 2009 Olympie - 15 March 2009 Olympie - 22 March 2009 Olympie - 12 April 2009 Rousillon - 20 December 2008 Rousillon - 18 January 2009 Rousillon - 25 January 2009 Rousillon - 1 February 2009 Rousillon - 8 February 2009 Rousillon - 22 February 2009 Rousillon - 8 March 2009 Rousillon - 15 March 2009 Rousillon - 22 March 2009 Rousillon - 29 March 2009 Rousillon - 12 April 2009 Rousillon - 19 April 2009
No of weeks 1 2 3 4
Method of Travel Car Plane - Geneva Plane - Lyon Plane - Chambery Plane - St Etienne Snowtrain Train Coach Coach Other
ETA 06:00 07:00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 TBA at the chalet
ETD 06:00 07:00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 TBA from the chalet
No in party 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 all ages
No of adults 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
No of children 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 over 3 & under 12
Number of under 3's 0 1 2 3 4 5 6

Address 1

Address 2

Address 3

Town/City

County/State

Post/Zip code

Country
Please Select Country United Kingdom Afghanistan Albania Algeria American Samoa Andorra Angola Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British West Indies Brunei Bulgaria Burundi Caledonia Cambodia Cameroon Canada Canary Islands Canton & Enderbury Islands Cape Verdi Islands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Dahomey Korea Dem. Republic of Vietnam Denmark Djibouti Dominica Dominican Republic Dronning Muad Land Ecuador Egypt El Salvador England, UK Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Islands Fiji Finland France French Guiana French Polynesia Afars & Issas French West Indies Gabon Gambia Gaza Germany Ghana Gibraltar Georgia Greece Greenland Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Heard & McDonald Islands Holland Honduras Hong Kong Hungary Iceland Ifni India Indonesia Iran Iraq Iraq-Saudi Arabia Neutral Zone Ireland Israel Italy Ivory Coast Jamaica Japan Johnston Atoll Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Laos Latvia Lebanon Leeward Islands Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Mariana Islands Martinique Mauritania Mauritius Melanesia Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Montenegro Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles Neutral Zone New Hebrides New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pacific Island Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Poland Polynesia Portugal Portuguese Guinea Portuguese Timor Principe & Sao Tome Puerto Rico Qatar Republic of Congo Republic of Korea Reunion Romania Russia Rwanda Ryukyu Islands Sabah San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Sikkim Singapore Slovakia Slovenia Solomon Islands Somalia Somaliliand South Africa South Korea Spain Spanish Sahara Spartly Islands Sri Lanka St. Christopher-Nevis-Anguilla St. Helena St. Kitts St. Lucia St. Pierre & Miquelon St. Vincent Sudan Surinam Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tanzania Thailand Togo Tonga Transkei Trinidad/Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Pacific Island US Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wake Island West Indies Western Samoa Windward Islands Yemen Zambia Zimbabwe

Deposits

Deposit (25% of holiday cost)

Payment by Please select one UK Cheque Bank Transfer - UK Bank Transfer - Non UK Credit Card Overseas Cheque BACS Other

If you would like to pay by credit card please complete the boxes below and then email the remaining part of the credit card to me at michael@purpleski.com. By selecting yes below you agree to the additional terms and conditions relating to credit cards; specifically clause 6 of our terms and conditions please read these carefully. Click here for supplementary terms and conditions on credit card payments.

We are only able to accept Visa or MasterCards. I am afraid we are not able to accept Switch, American Express or Diners.

First four digits of card Expiry date MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 CVC number

Please charge the deposit to my credit card. Yes No

If you wish to pay by bank transfer, Purple Ski's bank details are given on the confirmation page.

Additional Information

How did you find our web site? AltaVista Cheap Flights Excite I am an Existing Client A friend ifyouski.com HolidayBank Google HolidayWizzard Holiday Rentals Merinet.com MSN Ref existing client Search Engine Ski Central Ski.co.uk Snowboard.co.uk Skiholiday directory UK250 Yahoo Other

If other or by a friend please let us know:

Declaration

I have read and understood the Purple Ski booking conditions and agree to their terms on behalf of all members of my party.

You must tick this box in order to submit the booking form.

Thank you for taking the time to fill in this form. Please now take a moment to review you entries and then press submit. By submitting this form you agree to be bound by Purple Ski's terms and conditions and to forward the appropriate non refundable deposit within 5 working days.

Last Modified: 29 January 2008 18:34 GMT