Custom Adventure Travel tours to Nepal, Tibet and Bhutan


Submitting this form to Griffon Expeditions means you have read and agreed to the Booking Conditions, and also the Waiver Form.
You understand that you will be required to sign the waiver form before commencing your trip.
Griffon Expeditions respects your personal information, which is not sold to other parties nor distributed in any way.

Personal Information
Full Name(exactly as it appears in passport):
Nationality :
Sex :
Date of Birth :
Passport Number :
Place of Issue :
Date of Issue :
Valid Until :
Place of Birth :
Address :
City :
Province / State :
Post Code :
Country :
Telephone :
Business: Home:
Mobile :
Main Email Address :
Traveling Email Address :
Occupation :

Health Information
Dietary Requirements :
Medical Conditions :

Trip Details
Trek/Tour Name:
Tour Code :
Start Date :
End Date :
Arrival Flight Details :
Return Flight Details :
Special Notes/Requests :(e.g. single occupancy, extra nights at hotel, etc)

Emergency Contact
Name
Relation to you:
Telephone :
Business: Home:
Address :

Payment Details
Have you paid your trip deposit ?
Not yet
Payment notes: