Farwell photos

Booking Form

Booking Date
Please Print in Capital letter Flight Inclusive package
Trek (s) Selected Land only Package
Ref Arrival Date
Departure Date
Full Name
Address
Home Telephone
Work Telephone
E-mail
Occupation
Nationality
Date of Birth
Passport No.
Expiry Date

Name of next of kin or person to be contacted in case of emergency (with telephone)
Send (enclose) 4 passport size photo with this form.
Are you a vegetarian or have other special dietary need ?
I'm interested in the following adventures (Please Check)
Nepal  Tibet
My Anticipated Travel Dates (Please Check)
Atom & Spring Atom & Spring Atom & Spring
2003 2004       2005
Please Call me, I'm Ready to book Please Let me know about clothing & equipment rental.

Please let me know about your private group.
Enclosed US$ 400 per person deposit.
Insurance Premium US$ 70 per persons US$
Total amount US$
If you opt not to use our insurance scheme we will need a photocopy of policy which you have taken out. 


Thank you for your travel Nepal

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