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Welcome
to the Himalayan Glacier Trekking on-line
booking form. Please complete as many of
your booking details as possible and then
"Submit Booking Form". You will be contacted
soon to arrange payment and confirm your
booking.
Alternatively you can download the following
booking form and submit by fax or post:
Click
Here to download

Please ensure you have read the Himalayan
Glacier Trekking Terms
and Conditions of Booking.
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| *
Please note these fields are required to make
a booking. |
| Booking details: |
| Country in which you are based* |
|
| Where did you hear about Himalayan
Glacier Trekking? |
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| |
| Trip Information: |
| Trip Name:* |
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| Preferred departure date of trip:* |
Date |
| Number of people travelling: |
|
| |
| Personal
Information - Traveller 1 |
| Surname:* |
|
| First Name:* |
|
| Date of Birth: |
|
| Gender: |
Male
Female
|
| Nationality: |
|
Passport Number:
(Please note: this information is not essential
at the time of booking) |
|
| Any special dietary requirements: |
|
| Existing medical conditions: |
|
Travel insurance policy details (if known,
otherwise must be provided at a later date.
See T
& C's) |
|
| |
| Personal Information - Traveller
2 |
| Surname: |
|
| First Name: |
|
| Date of Birth: |
|
| Gender: |
Male
Female
|
| Nationality: |
|
| Passport Number: |
|
| Any Special dietary requirements: |
|
| Existing medical conditions: |
|
Travel insurance policy details (if known,
otherwise must be provided at a later date.
See T
& C's) |
|
| |
| Contact details
- used for the whole booking |
| Country: |
|
| Phone:* |
|
| Email:* |
|
| |
| Additional information: |
|
| I would
like to subscribe to Himalayan Glacier E-Newsletter |
Yes
No
|
| I agree to the Himalayan Glacier
Trekking booking
conditions: |
Yes
No
|
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