| Booking
& Payment Information - sample
form |
Click here to download this form. - (.doc format) |
| Nepal
Path Finder -
Trip application form |
Please complete,
sign and fax at: + 977 1 4700769 with an advance
of non-refundable bank deposit of US$ 200.00 for
the selected trip in the following bank detail:
|
Beneficiary: Nepal
Path Finder (P) Ltd. - Thamel - Kathmandu
A/C No:
00058270018
Bankers: HIMALAYAN
BANK Ltd - Tridevimarg - Kathmandu - Nepal
Telex No: 2789
HIBA NP; Swift code: HIMANPKA; Fax: +977 1 4222800
|
| Click
here to pay by Credit Card |
| I have applied to
participate in (check
trips applied for & single supplement option
if desired)..................................................................................................... |
| |
| ...................................................................with
my personal information as follows: |
| Name (as in passport)
.........................................
Sex (M/F) ............... |
| Street address.................................................................... |
| City, State, Zip
.................................................................................. |
| Home phone................................................
E-mail .............................. |
| Birth date (D/M/Y)
............................................ Birthplace
..................... |
| Nationality (your
passport issued country)
.......................Passport
number..... |
| Date of issue (D/M/Y)
.........................date
of expiration (D/M/Y) ......... |
Profession
................................................
Are you vegetarian / non-vegetarian? ..................... |
| Hiking experience............................................................................. |
How high have you
been before?......................
Please specify if you have any comments...............................................
............................................................................................................
|
SIGNATURE
..............................................................
DATE
.............. |
| |
|
Click here to download this form. - (.doc format) |
| |
