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REGISTRATION FORM
Pay by credit card to Eco Trek.
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Complete information please!
Fax to: Ecotrek Fax: +977-1-43 58 118
Arrival date in Kathmandu________________________________
Name_________________________________________________
Passport country and number_______________________________
Address_________________________________________________
City_________________________________________________
State_________________________________________________
Postal Code_________________________________________________
County_________________________________________________
Telpehone_____________________________________________
Fax_________________________________________________
Email________________________________________________
Amount to be charged to Credit Card_________________________________________________
Credit card name and number_________________________________________________
Expiration date_________________________________________________
Booking Fee : (Based on Kathmandu )Enclosed is my deposit of 25% which will
be applied in full to the land cost of this trip. I understand this
is non-refundable and the remaining moneys must be paid in full prior
to departure with passport and two passport size photos . I understand
that the trip organising by Eco Trek ( Eco Trek International Pvt. Ltd.)
and /or its associated partner/s have full rights to make any decision
if needed regarding group size, group assignments, early or late departure
or cancellation. I am travelling on my own risk and I agree to the terms
stated by Eco Trek.
Date ____________________
Signed __________________ | 
