Eco Trek Nepal: Trekking in Nepal  
Trekking in Nepal with Eco Trek
Trekking and hiking company in Nepal
 
booking form
B O O K I N G - F O R M

 
Name *

as appear on the Passport
Date of Birth *
Sex * M F
Passport Number *
Country *
Occupation *
E-mail address *
Phone with countrycode *
Phone1 ( Mobile/residence)
 
Emergency contact information if incase
   
Name
Tel
email
Relation
 
Do you have any medical conditions we should be aware of?
Yes/No, if yes, explain please:
   
Medical / Rescue insurance
Name of Insurance Company
Hot line telephone No
Kathmandu arrival date, time and flight
Departure date from Kathmand:
Enter Security Number

 
   
 
 
 
 
 
 
 
© 2006 ECO TREK International, P.O. Box: 19538 Kathmandu, Nepal, Email: info@ecotreknepal.com, ecotour@wlink.com.np
Corporate office : Indrayani sadak, Khusibu Tole , Nayabazar, Tel : 977-1- 20 90 369, Fax : 977-1-4358118,
Sales office : Thamel Chowk - 29, Kathmandu, Nepal, Tel: 977- 1- 4424113