BOOKING FORM

Please fill in this form and e-Mail, or fax, it to us for a prompt response.

PERSONAL INFORMATION

Family Name First Name
Other Names Date of Birth
Nationality Occupation Issue Date Valid Till
Mailing Address: Tel: Work Home
E-Mail Address: Fax #:

Please reserve place/s on the following
Tour Name Departure Date
I will share a room/tent with Assign a room/tent mate if available.

Please reserve a 1st Class/Economy Hotel room for the following dates in:
Kathmandu Pokhara


Please make booking for air/surface transport for the following sectors
KTM/Pokhara/KTM: Dates KTM/LUKLA/KTM: Dates
Others Dates

Remarks/Inquiries: Indicate here for any special request

I am sending my deposit/payments of US$ , by bank transfer, in favour of, GETAWAY HIMALAYAN ECO-TREKS (P) LTD, A/C # 10151AO, HIMALAYAN BANK LIMITED, TRI DEVE MARG, KATHMANDU, NEPAL. (For quick remittance at our end please route your payment through AMERICAN EXPRESS BANK, NEW YORK, U.S.A., A/C # 723262. Please send payments well in advance. It takes 10 to 15 days for payments to reach our account.)

I/We will pay the balance at least 30 days in advance by bank transfer or (if less than 15 days) on arrival in Kathmandu by Traveller' Cheque or Cash.

I have read all the terms and conditions of this trip and agree with them and am willing to sign the Limited Liability (relating to Agents/Operator's Responsibilities and Lialiabilities) during trek-briefing meeting in Kathmandu prior to departure for .

Date:


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