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Home / Applications / Applications Form
Fill out and send us the following form below or print and send any other documents by fax to 56-2-2174684 This is part of the first step in registering for a KL Expeditions departure

This will help us to get acquainted with you. To enroll to climb any peak with us, fill out the:
(1) Trip Application
(2) Expedition questionnaire
(3) Do It Yourself (DIY) Medform.

Along with these 3 forms you must also send a non refundable $700 US $ deposit.

Once enrolled, you will receive an acceptance package. This package will include the following: An acceptance letter, a detailed equipment list, a medical release form, to be filled out by your physician, a detailed training program, all of our pertinent contact information, along with all other necessary information regarding your individual expedition.
1 YOUR DESIRE PROGRAM
With Private Porters Without Private Porters  
Other
2 CLIENT INFORMATION
Full Name
Address
City
State
ZIP / Code Postal
Country
Phone Home
Phone Mobile
Phone Work
E-mail
Ocupations
Passport Nº
Issue date
Expire date
Citizenship
Age
Date of birth
Height
Weight
Shoe Size
Blood group / Rhesus factor
3CLIMBING EXPERIENCE
  Please specified clearly year, mountain, route, altitude achieve, company & guide with who did you participate.
 
4SPECIAL REQUIRMENT
Diet Special Requirement Yes
No
 
Single Room Hotel Reservation Yes
No
  Note: Single supplement concern ONLY hotel booking and NOT the single tent use during the expedition & trekking program. Please contact us in case you desire a single tent supplement all time.

Climbing Equipment Rentals Yes
No



KL Expeditions strongly recommends that you sign up for a Global Rescue membership for the length of your trip. Global Rescue is a medical evacuation provider that is capable of rescuing you from our remote locations and bringing you back to your home country hospital of choice. Their phones are staffed 24/7 by paramedics which are backed by over 2400 specialists from Johns Hopkins Medicine. For more information and to receive a 10% discount upon signing up, visit www.globalrescue.com/kl.
5PAYMENT PROCEDURES
Attached find the amount of    
Deposit US$

Payment Method

   
Credit Card Visa Master Amex
Credit Card #
Expire

Check to KL EXPEDITIONS LTDA

   
Mailing Address
Augusto Mira Fernández # 14248
CP 7591409 - Las Condes - Santiago - Chile.

Wire transfer to

Bank: WELLS FARGO BANK, NA
Details will be send by e-mail
6HOW DID YOU LEARN ABOUT ACONCAGUA EXPRESS EXPEDITIONS

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Toll Free Number: 1-866-869-3625
UK
Toll Free Number: 0808-234-9140
AUSTRALIA
Toll Free Number: 1800-852-108