Svalbard Corporate Arctic Expedition

Svalbard Corporate Arctic Expedition

June 22 - 26, 2025*
*This does not include pre/post-trip travel dates

Your Information

Contact Details
Company Name*
Full Name on Passport*

First NameMiddle NameLast Name
Preferred Name, if different
Nationality*
Birthdate*

DayMonthYear
DD/MM/YYYY
Email*
example@example.com
Mobile Phone Number / WhatsApp Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Health Information
Food Allergies? *
If none, enter N/A
Other Dietary Restrictions? *
If none, enter N/A
Medical Conditions and/or Allergies?*
If none, enter N/A
Physical Restrictions? *
If none, enter N/A
Medications?*
If none, enter N/A

Are you also registering for a travel partner?

YesNo

Guest #2 Information

Contact Details
Full Name on Passport*

First NameMiddle NameLast Name
Preferred Name, if different
Nationality*
Birthdate*

DayMonthYear
DD/MM/YYYY
Email*
example@example.com
Mobile Phone Number / WhatsApp Phone Number*

Guest #2 Health Information
Food Allergies? *
If none, enter N/A
Other Dietary Restrictions? *
If none, enter N/A
Medical Conditions and/or Allergies?*
If none, enter N/A
Physical Restrictions? *
If none, enter N/A
Medications?*
If none, enter N/A

Travel Information

Accommodations/Cabin Information
Rooming Occupancy Preference*

Single - I understand that I am responsible for the single supplementDouble - I have a cabin mateDouble - Please assign a cabin mate (I am aware that if a cabin mate is not available, I must pay the single supplement fee).
Cabin Mate Name, if known
Please select your first choice single occupancy cabin preference option:*
Please select your second choice single occupancy cabin preference option:*
Please select your first choice double occupancy cabin preference option:*
Please select your second choice double occupancy cabin preference option:*

Travel Information

Accommodations/Cabin Information
Please select your first choice double occupancy cabin preference option:*
Please select your second choice double occupancy cabin preference option:*

Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship*
Mobile Phone*
Other Phone
Email*
example@example.com

Trip Deposit

Polar Bears International requires a $1,000/per person non-refundable deposit to reserve your spot on this trip.

Single Deposit - Svalbard Corporate Arctic Expedition Product Image

Single Deposit - Svalbard Corporate Arctic Expedition

$1,000.00 Quantity
Item subtotal:$0.00

Two Person Deposit - Svalbard Corporate Arctic Expedition Product Image

Two Person Deposit - Svalbard Corporate Arctic Expedition

$2,000.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I certify that the information given is accurate and complete to the best of my knowledge. *

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