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Note: Fields mark with
*
are mandatory.
Program:
Type Inquiry
Trekking
Culture Trekking
Peak Clmbing
Social Work
Sherpa Home Stay
*
Full Name :
I am
Single
Couple
Group Leader
Travel Agent
Other(s)
With my friend (s)
With My Family
*
Sex
Male
Female
*
Company Name:
Country
[ Please select your country ]
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Afghanistan
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Niue
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Peru
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Poland
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Puerto Rico
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Reunion
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Rwanda
S. Georgia and S. Sandwich Isls.
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Thailand
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Trinidad &Tobago
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Ukraine, CIS
United Arab Emirates
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US Minor Outlying Islands
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Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
*
Phone:
(incl. conuntry code)
*
Fax:
*
Email :
*
Group Size:
1
2
3
4
5
6
7
8
9
10
11
12
Please select
Arrival Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Year
2009
2010
2011
2012
2013
2014
2015
2016
Departure Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Year
2009
2010
2011
2012
2013
2014
2015
2016
*
Comments:
Airline:
Flight Number:
Airport Pickup:
Yes
No
Interests In Nepal:
Trekking
PeakClimbing
Culture Trekking
Social Work
Sherpa Home Stay
sherpa trek nepal (Pvt.) Ltd.
G.P.O. Box: 1987, Kathmandu, Nepal,
Tel.: 00977-9741188096, Fax: +
info@sherpatrekadventure.com
,
http://www.sherpatrekadventure.com/
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