Name...........................................................................
Nationality....................................................................
Passport Number.............................................................
Occupation.........................................................
Age................. .Sex.......................................
Address..............................................................................................................................................................................
State...........................Zip.....................................Street
Phone (Home).................................................(Business).......................................................
Email ................................................................

In case of emergency, please notify:

Name........................................................................Relation...........................................
Address.....................................................................................................
Phone.................................................

I wish to book the ...............................................................................................trek.
Date....................................................................

Please notify us if you would like to go early or extend your stay so that we can customize your air itinerary. I am willing to share a double room I prefer a single room and am willing to pay the supplement cost, how did you hear of Different Treks Service Pvt. Ltd.?
Please describe your health and outdoor
experiences................................................................................................................................................
 

Payment conditions:

A deposit of 50% of total cost is required upon confirmation of booking. The balance to be paid on arrival in Kathmandu.

Cancellation charges:

Before 35 days - 25%: Before 30 days - 30%: Before 15 days - 40%: Before 7 days-50%

Payment Method:

Bank tranfer. (account details will be supplied on confirmation of booking)

Booking Terms & Condition

Please notify us if you would like to go early or extend your stay so that we can customize your air itinerary. I am willing to share a double room I prefer a single room and am willing to pay the supplement cost, how did you hear of Different Treks Service Pvt. Ltd.?
Please describe your health and outdoor  experiences......................

ASSUMPTION OF ALL RISKS

I,...........................................................................hereby acknowledge that I am aware that during the trip or vacation that I am participating in under the arrangements of Different Treks Service Pvt. Ltd, and its agents or associates, certain risks and dangers may arise, including, but not limited to: the hazards of traveling in mountainous terrain, high altitude, the forces of nature, civil unrest, travel by aircraft, boat, raft, automobile, bus, elephant or other means of conveyance, accident or illness in remote regions without means of rapid evacuation or availability of medical supplies and facilities, and the negligence of Different Treks Service Pvt. Ltd and its affiliated organizations and their employees. I acknowledge that the enjoyment and excitement of adventure travel is derived in part from the inherent risk incurred by travel and activity beyond the accepted safety of life at home or work and that these inherent risks contribute to such enjoyment and excitement, being a reason for my participation.

RELEASE OF LIABILITY

As lawful consideration for being permitted by Different Treks Service Pvt. Ltd to participate in such trips and activities, I hereby agree that I will not make a claim against Different Treks Service Pvt. Ltd or sue for bodily injury, death, emotional trauma, and/or property damage resulting from the negligence of, or other acts, however caused, by any employee, agent or contractor of Different Treks Service Pvt. Ltd, as a result of my participation on this trip. This release specifically includes giving up any right I may have to sue Different Treks Service Pvt. Ltd for negligence. I hereby release Different Treks Service Pvt. Ltd and its agents and employees from and against any and all liability arising out of or connected in any way with my participation, on the trip, even though that liability may arise out of negligence or carelessness on the part of Different Treks Service Pvt. Ltd, and/or its agents and employees.

The Assumption of All Risks and Release of Liability agreements are entered into on behalf of all members of my family, including any minors accompanying me. These agreements are binding on my heirs, legal representatives, and assigns. If any portion of these agreements is unenforceable, the remaining portions shall remain in full force and effect. All applications are subject to acceptance by the Different Treks Service Pvt. Ltd I have carefully read and do agree to all the conditions as stated under the heading "Terms and Conditions" in this brochure, especially noting the policy on cancellations and refunds.

KNOWING AND VOLUNTARY EXECUTION

I have carefully read and fully understand the contents and the conditions as stated under the heading "Terms and Conditions" attached hereto including those regarding cancellation and refund policies. I understand that this is an enforceable contract and sign it of my own free will.

Signature of applicant...................................................Date..................