TRIP REQUEST FORM

If you wish to receive information about The Human Ski-In 1998, fill out the Trip Request Form and submit it to Moguls Ski and Snowboard Tours, our official tour operator. This will enable Moguls to customize your accommodations and contact you with the details when they become available. You can also call Moguls Ski and Snowboard Tours at 1.800.666.4857, ext. 104 if you don't have a forms capable browser.

Lodging and Lift tickets:

• Number of nights staying? 3 4 5 7
• Number of people in your party?
• Number of beds needed in room?
• Number of lift tickets needed (# days x # persons)

   

Airfare and Transportation:

• Need airfare? yes no
• City of origination
• Need ground transportation? shuttle rental car none

   

How do we contact you?

Once your request is received, we will follow-up with a phone call. Despite the convenience of email, we still find it more effective to customize your trip if one of our ski specialists speaks with you directly.

Please be sure to include your day and/or night time phone number so we can reach you.

Name
Address
City
	statezip
Daytime Phone
Evening Phone
Email Address

Best time to reach you?

If you have any comments, questions, requests, or special needs, please let us know.

Just a few more questions:

• What link brought you to the HSI Home page?
  
• Do you plan to attend the music events? yes no
  
• Are you interested in participating in the Deadhead-to-head slalom race to benefit the Summit Foundation
  yes no
  
• Are you a(n)... alpine skier nordic skier
  telemark skier snowboarder none of the above
  
• What other winter activities are you interested in while visiting Breckenridge?
  
  
• What magazines do you read?
  Powder Skiing Ski Snow Country
  Snoboard Outdoor Relix Rolling Stone Dupree's
  Other

Optional:

Age Sex: M F
Occupation

THE HUMAN SKI-IN 1998
Produced by On The Mountain
jarid@well.com