Application form for participation in the AlexClimb mountain climbing program.Program: "Altai, Belukha, Ak-oyuk"Day 1 - International flight to Moscow, hotel accommodation, city tourDay 2 - Flight to Barnaul, transfer to Tungur village, 1200 km, (minibus), campingDay 3 - Riding the horseback by Kucherla valley to meteostation Karaturek, campingDay 4 - On the horseback over the Karaturek Pass to Akkem valley to Akkem Lake, campingDay 5 - Day offDay 6 - Trek to the Tomsk Bivouac, campingDay 7 - Climbing Delane Pass, fixed ropes, camping on the glacierDay 8 - Climbing to Base Camp on the Berel Col, campingDay 9 - Summit day, climbing East Belukha (4506 m), descent to the Tomsk Bivouac or to the Akkem Lake, campingDay 10 - Descent by the Akkem valley (horses are used for carrying backpacks), campingDay 11 - Descent by the Akkem valley, passing Kuzujak Pass, descent to Tungur, camping, sauna^ Day 12 - Departure to Barnaul (minibus), hotel accommodationDay 13 - Flight to Moscow, return International flightThe cost includes: guide services, rent of the communal equipment (ropes, belaying and navigation equipment, cooking gear), hotel accommodation, transfers from the point of the beginning of the program to its end (Barnaul), using the communal basic medical kit, local registering and climbing permits, food for outdoor part of the program. ^ The cost does not include: Russian visa charges, International and domestic flight expenses to and from the point of the beginning of the program (Barnaul), climbing insurance, rent of the personal equipment, food and drinks while being in cities, using the satellite phone. 1. Your full name 2. Year, date and place of birth 3. Your home address 4. ZIP Code 5. Citizenship 6. Passport detailsNumber:Date and place of issue:Expiring date: 8. Telephone number Home:Mobile: 9. Place of employmentYour position:Phone number: 10. You contact e-mail 11. Emergency contact.