Please enter your first name *

 
And your last name *

 
What size of gloves would you like? *


 
Do you want to have more flyers (around 15) to distribute to local touristic organizations during your next trip to get them onboard? *

You would be a kind of "My Green Trip Ambassador". That's a cool job title :-)
     
 
Where do you live? *


 
Could you write down your postal address ? *

Street, Number, Zip Code, City and Country
 
As we do not yet have funds, if you can afford it, we thank you to participate to the kit and shipping costs. It is also a way to support our project and activities. Your participation wille be  {{var_price}}.

- Costs within Switzerland are 5 CHF, to Europe it is 7 CHF, and outside Europe it is 10 CHF.
- Transfer is done by credit card. We use Stripe, one of the best and most secured online payment system.
 
Please enter your Credit or Debit Card number:

 
The CVC number:

(3 or 4 digit security number on the back of your card)
 
The name on your card:

 
Your card's expiry month:


 
Your card's expiry year:


 
Two quick questions before you go. 

Where do you plan to go for your next trip or vacation ?

 
What activities in nature do you like to do when you are traveling or in vacation ?


 
Any message before you go?

Thanks a lot {{answer_qWLK}}. You will soon receive your kit. We hope to see your pictures on our home page :-)
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