Trip application form
WhiteWater Nepal (P) Ltd. Trip application form |
| Please complete, sign and fax at: + 977-1-4700898 with a deposit of 30% of the total amount of the selected trip in the following bank information: |
Beneficiary: WhiteWater Nepal (P) Ltd. - Thamel – Kathmandu A/C No: 010100061440 Bankers: Bank of Kathmandu Ltd – Thamel Branch - Kathmandu - Nepal Telex No: 2820 BOK NP; Swift code: BOKLNPKA |
| 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) ...................................................................................................................... |
| Street address .................................................................................................................................. |
| City, State, Zip .................................................................................................................................. |
| Home phone..................................................................................................................................... E-mail ........................................................................... |
| Birth date (D/M/Y) .................................................................................................................... |
| Birthplace ................................................................ |
| Nationality (your passport issued country) ....................... |
| Passport number...................................... |
| Profession ................................................. |
| Are you vegetarian / non-vegetarian? ........................... |
| Rafting experience............................................................................................................................ |
| Please specify if you have any comments......................................................................................... |
| ......................................................................................................................................................... |
| ......................................................................................................................................................... |
| ......................................................................................................................................................... |
SIGNATURE ............................................................. DATE ................................................... |
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