Skier Questionnaire

Mono/Duel Ski Loan Request

annex "A" to Snow Buddies UK mono/duel ski loan policy V3
I request the loan of a Tessier Tempo Mono or Duel Ski owned by

Snow Buddies UK

At a cost of £200 per week

Ring Andy on 07868 660756
or
email nick@snowbuddiesuk.com
Section 1

Personnel Details
Preferred Name*
Name*

First NameLast Name
Address*

Street Address

Line 2 (optional)

TownCountry

Post CodeCountry
Mobile Number*

Area CodePhone Number
Email*
example@example.com
Section 2

Qualifications
If booking a piloted duel ski do you hold a tessier licence*

YesNoN/A (I'm not booking a piloted duel ski)
Section 3

Loan dates
From*

DayMonthYear
Date
To*

DayMonthYear
Date
Method of travel

AirRoad
Section 4

Equipment
Are you booking a mono or duel ski*

Independently skied Mono skiIndependently skied Duel skiPiloted duel ski
As well as the Tessier can the loan include the following*

1 x pair of superlite outriggersSuitable skis for the equipmentTessier T bar quick releaseFabric leg cover
Seat size requires*

Size 2Size 3Size 4Size 5Piloted cantiliver seat
Your weight in Kg for shock absorber adjustment*
I will make the £200 payment to secure the booking,*

By BAC's - to Snow Buddies UK, sort code 30-84-79, Acc No 54225160By cheque - made payable to Snow Buddies UK and posted to 30 Prescelly Close, Nuneaton, CV10 8QA
By pressing the submit button I confirm that:-

I have read and fully undrestand all questions.

I have answered all questions to the best of my knowledge.

I agree to all terms and conditions in the Snow Buddies UK mono/duel ski loan policy

Please ensure you have completed all questions before submitting the form.

I understand the booking cannot be confirmed until the the £200 payment has beed received
Snow Buddies UK, 30 Prescelly Close, Nuneaton, CV10 8QA

www.snowbuddiesuk.com - 07868 660756 - snowbuddiesuk@gmail.com

Reg Charity No in England and Wales 1167386
Should be Empty:

Mono/Duel Ski Loan Request

Section 1

Section 2

Section 3

Section 4