Your Medal: Application form – Val d'Isère & Vous

Type of medal *

BRONZE (20 years of loyalty and more, as soon as you come of age)
SILVER (30 years of loyalty and more, as soon as you come of age)
GOLD (40 years of loyalty and more, as soon as you come of age)
GRAND GOLD (more than 50 years of loyalty, as soon as you reach the age of majority)

Is this a surprise? *

If so, for whom do you organise it?

Your contact details in order to organise the surprise

Full name of the medallist *

Medalist's date of birth *

Medalist's e-mail *

Medalist's telephone number

Medalist's personal mailing address *

Medalist's profession *

You have been coming to Val d'Isère for (exact number of years) *

You certify *

Your usual address in Val d'Isère *

If you own a second home, you certify that you have owned it since

Your sponsor (local or resident at Val d'Isère for more than 15 years) *

E-mail of the sponsor *

Sponsor's telephone (mobile or fixed) *

Your next stay to organize your ceremony *

Agreement *

I give my agreement to Val d'Isère Tourisme to keep my name, first name, type of loyalty medal as well as my testimonials and/or photos in the file of loyal customers and that they appear on the dedicated website.

Your Medal : Application form