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Your medal
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Home
Val d'Isère
The medallists
Bronze medals
Silver medals
Gold medals
Super Gold medals
Agenda
News
Contact
Your medal
Testimonials
Your Medal : Application form
Please enable JavaScript in your browser to complete this form.
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?
*
Yes
No
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)
*
20 years (after my majority)
21 years old (after my majority)
22 years old (after my majority)
23 years old (after my majority)
24 years old (after my majority)
25 years (after my majority)
26 years old (after my majority)
27 years old (after my majority)
28 years old (after my majority)
29 years old (after my majority)
30 years (after my majority)
31 years old (after my majority)
32 years old (after my majority)
33 years old (after my majority)
34 years old (after my majority)
35 years old (after my majority)
36 years old (after my majority)
37 years old (after my majority)
38 years old (after my majority)
39 years old (after my majority)
40 years old (after my majority)
41 years old (after my majority)
42 years old (after my majority)
43 years old (after my majority)
44 years old (after my majority)
45 years old (after my majority)
46 years old (after my majority)
47 years old (after my majority)
48 years old (after my majority)
49 years old (after my majority)
50 years old (after my majority)
More than 50 years old (after my majority)
You certify
*
you don’t live year-round in Val d'Isère
you’ve never been based in Val d'Isère
Your usual address in Val d'Isère
*
If you own a second home, you certify that you have owned it since
20 years and over, but less than 30 years
30 ans and over, but less than 40 years
40 years or more
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.
Name
Send