Bhutan Tours and Travels
P.O. Box 225
Thimphu
Name (As is appears on your passport) _________________________ Date_____________
Spouse or travel companion _______________________________________________
Contact phone:_______________________________ Email____________________
How long have you practiced yoga? _______________________________________
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Who are your main teachers?
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How long have you been studying with them?
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What tradition/style do you practice? _________________________________________
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Do you have any injuries or illness that your yoga teacher should know about? Describe ALL
physical and physiological conditions. ____________________________________
______________________________________________________________________
______________________________________________________________________
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_______________________________________________________________
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Are you currently on any medications? Please list all of them.
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Have you been on an overnight hiking trip before? How long ago? Please describe it.
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Trekking can mean testing yourself against the elements, elevation, and physical demands—
usually in very remote places. You will need a signed note from your doctor saying you are clear
to hike to 4200 meters and a copy of your emergency evacuation insurance including an
emergency airlift. _______ Initial here to show you understand.
Number traveling
17 day Trip
Single occupancy
Total due $________________________
Price
$7541
$510
Total
50% down payment $________________
Second payment due 8/8/2015_________
Tel: 975-2-322594; Fax: 975-2-323515; Mobile: 975-17114790 or 17110447
www.bhutantoursandtravels.com
Bhutan Tours and Travels
P.O. Box 225
Thimphu
Payment: BTT Bank Transfer Details
Please request your bank to remit money as follows:
Bank Address Standard Chartered Bank Ltd., (Correspondent Bank)
One Madison Avenue, New York,
NY 10010-3603
SWIFT Code: SCBLUS33
CHIPS ABA: 0256
FED ABA: 026002561
Beneficiary Bank Account 358-202-171-9001 (USD A/C)
Beneficiary Bank Bhutan National Bank, P.O Box 439,
GPO Building, Chang Lam, Thimphu, Bhutan
SWIFT Code: BNBTBTBT
Ultimate Beneficiary Account No. 6296009 of BHUTAN TOURS AND
TRAVELS maintained with BNB, Thimphu Bhutan
*Kindly email remittance copy and details to tourbhutan@hotmail.com*
Cancellation policy: Clients will be subject to tour cancellation fees for paid tour with Bhutan
Tours and Travels, as follows:
• An administration fee of $75 will be applicable for all canceled tours
• 45 days or more prior to arrival date in Bhutan -- no penalty, except wire
transfer fees
• 45-30 days prior to arrival date in Bhutan -- 20% penalty in addition to wire
transfer fees
• 22-29 days prior to arrival date in Bhutan -- 30% penalty in addition to wire
transfer fees
• 15-21 days prior to arrival date in Bhutan -- 50% penalty in addition to wire
transfer fees
• Less than 15 days prior to arrival date in Bhutan -- no refund
• After arrival in Bhutan -- no refund
Bhutan Tours and Travels will not be held liable for any additional charges that
may be levied by the Tourism Council of Bhutan.
Please note that if we do not have 12 guests signed up by June we will have to cancel the
trip.
Print name ________________________Signature__________________________date_______
Print name ________________________Signature__________________________date_______
Tel: 975-2-322594; Fax: 975-2-323515; Mobile: 975-17114790 or 17110447
www.bhutantoursandtravels.com