Lotus Himalaya

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Trip Booking Form

[Welcome ! You have choosen the following Day Trip for the Booking process]

Trip Name

Trip Code

Traveler's Details:

Full Name* (Lead Traveller)

Email ID*

Confirm Email ID*

Mobile Number* (With Country Code)

Nationality*

Residence City Name*

Passport Detail's:

Passport Number*

Date Of Birth*

Passport Issue Date*

Passport Expiry Date*

Upload Passport * (Lead traveller) (in JPG version)

Flight Detail's :

(If you are already in Kathmandu no need to fill this section)

Arrival City Name*

Airport Name*

Airline Name*

Flight Number*

Arrival Date*

Arrival Time*

I/we will inform you my/our flight details later in the email.

Number Of Travelers*	Tour Cost(In US$)	Total Tour Cost(In US$)
	1125.00 ( mini. 02 Pax )

Mode of Payment

I/we will pay the 50% of the total amount as an advance fund to initiate the booking process of the trip, via :

Credit Card (Online Payment)

Bank Wire Transfer

Cheque Deposit

Cash Payment

I/we will settle the payment with your represantive while we would meet him/her at our hotel lobby.

Message Box*(Tell us more about yourself to help you better)

Travel Insurance:

Yes, I/We already have purchased full coverage insurance

I/We still have to purchase this, will do this promptly

My/Our trip doesn't require the trip insurance

Emergency Contact Of The Lead Traveller:

Full Name*

Email ID*

Confirm Emergency Email ID*

Mobile Number* (With Country Code)

Nationality*

Residence City Name*

Relationship With The Lead Traveller*

Our Company

About Us

Terms of Services

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[Our Liability]

Important Tour Information