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High Mountain Wave Trekking (P) Ltd.- Trip application form

Click on your browser File option and select Print to print this form. Please complete, sign and fax at: + 977 1 4700769 with an advance of the selected trip in the following bank detail:

Beneficiary: High Mountain Wave Trekking (P) Ltd.
Thamel - Kathmandu
A/C No:019 00106250019
Bankers: HIMALAYAN BANK Ltd.
Tridevimarg - Kathmandu - Nepal
Telex No: 2789 HIBA NP
Swift code: HIMANPKA

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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High Mountain Wave Trekking : "Trekking and tours organizer for Tibet"
URL: www.trekkingtibet.com    Email: info@trekkingtibet.com
Phone: + 977 1 4700870/4700770,     Fax: + 977 1 4770769
Thamel, Kathmandu, Nepal