| Surname: |
Given Name: | Male Female |
Age: |
| Nationality: |
Passport Number: | Occupation: | |
| Tour Name / Duration: | Arrival Date: __________ / __________ / __________ (day) (month) (year) |
Flight Airline and Number: | |
| Email: | FAX: TEL: |
||
| EMERGENCY CONTACT: (must include NAME and TEL; FAX, email requested.) | |||
| TRIP APPLIED FOR: NEPAL TIBET SIKKIM BHUTAN | |||
| PAYMENT SCHEDULE & SYSTEM: | CANCELLATION CHARGES: |
| First
Booking: 50% of Total Cost Due Via Bank Transfer |
40 days prior 20% 30 days prior 25% |
| Remainder
Due Prior to Trip Commencement (according to schedule) Via Cash // Travellers Cheque (payable in US $) |
15 days prior 30% 07 days prior 40% Less than one week 100% |
P.0 B0X: 9678
Maharajgunj, Chakrapath Chowk, Kathmandu, Nepal
Tel: +997-1-413675
Fax: +997-1-436544
E-mail:hihico@parvat.mos.com.np