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Booking Information

Trip application form

Click on your browser File option and select Print to print this form. Please complete using block letters, sign and Fax at: + 977 1 4700769 with a non-refundable bank deposit of 30% of total booking sum each for the selected trip in the following bank details or just send your Credit card Details via Fax mail.

Or you can download the following Trip application form and send us to email by filling up.

Trip Application Form (.doc)
Trip Application Form (.pdf)

 


Beneficiary:
Mountain River Rafting (P) Ltd. - Thamel - Kathmandu
A/C No: 01900058270018
Bankers: HIMALAYAN BANK Ltd - Tridevimarg - Kathmandu - Nepal
Telex No: 2789 HIBA NP
Swift code: HIMANPKA;
Fax: +977 1 4222800

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? ............................

Trekking/Hiking/Biking experience.......................................................................................................................................

How high have you been before?........................Please specify if you have any comments...................

......................................................................................................................................................

.......................................................................................................................................................

 

SIGNATURE ......................................................................... DATE .......................................

 
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