Individual Entry Form

First name

Surname

Address
Tel:

Email:

Formulas: n1 : 115

n2 : 70

n3 : 30

n4 : 40

+ Membership of the Association: add 15

WALKER

OR

NON-WALKER = BUS

Please circle your chosen formula and circle whether a Walker or Non Walker
Completed forms should be sent to:
Hubert KIRSCHHOFFER, 1bis avenue de Montbrun, 64600 Anglet
Payment should be made to:
Les amis du Rseau Comte before 20th August 2016, either by:

a)

Bank transfer to the Associations account:

Banque Michel Inchausp, 48 boulevard Victor Hugo, 64500 Saint-Jean-de-Luz,
France
IBAN: FR76 1795 9000 2885 0220 2690 108 BAMY FR22
or
b) Bankers cheque payable in France
or
c) For those outside the euro zone: A PayPal facility has been set up on the blog.
(We have had to increase the costs slightly to cover PayPals charges)
I have read the terms and Conditions and will comply with them.

Signed:
Date:

Place:
/

/2016

MAINLY FOR THE WALKERS

While the walk is not particularly demanding, its not a Sunday stroll either.
Walkers should follow the advice of the organisers and the guides. Walkers
should be in regular hill walking practice and be in possession of suitable
equipment: hiking shoes/boots, a stick and wet weather clothing. Walkers are
strongly advised to have a change of clothing and footwear. Each walker
should ensure that he/she has sufficient drinking water (minimum 1 litre),
dried fruit and energy bars for munching en route. Finally, walkers should note
that they are ultimately responsible for their own safety and accordingly they
would be well-advised to arrange their own individual insurance cover. Liability
rests with the individual, not the organisers.