Trekking in Nepal - High Mountain Wave Trekking Booking form

Trekking in Nepal - 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.

    Beneficiary:
    High Mountain Wave Trekking (P) Ltd. - Thamel - Kathmandu
    A/C No: 00106250019
    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...................
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SIGNATURE ......................................................................... DATE .......................................