Instructions!

You must complete this form to with all required entries.
Please make sure that all names are spelled as they appear on your passports (no nicknames). If there are child passengers betweein the age of 2-11, please indicate the age of child passengers.

If you would like to pay by credit card please fill out this form and
click on the credit card form link at the bottom for secure credit card information.

Name:
Address:
City:
State/Province:
Zip:
Phone #:
Fax #:
Email:
Leaving From/ To: Travel Date & City
Returning From/To: Return date & City
Passenger Names & Remarks:
Secure Credit Card Payment Authorization Credit Card Holder Information Name: Billing Address: City: State: .....Zip Code: .... Phone: Email:  . Payment Information Card Number: Card Type: VISA Master Card American Express Discovery Expiration:  01 02 03 04 05 06 07 08 09 10 11 12 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Total amount: Date:   . Card Info Name On Card: CSC Numbers 3 extra numbers on VI,MC, DS or 4 numbers front of AX Other: CREDIT CARD AUTHORIZATION: By submitting the authorization below, I authorize Himalayan Int'l Tours to charge this credit card, and I acknowledge that I have read and understood all Terms and Conditions of Himalayan Int'l Tours as per airline rules of cancellation, refund and non-refund penalties. For tour passengers terms as mentioned in the brochure or website. That I agree to all of them, and that I have been advised about travel insurance plan. For the security of your card use, please fax your photo ID and copy of your card to Fax No. 212-564-2188. If you have any questions, please feel free to e-mail or call us at: 212-564-5164 or toll free (800) 421-8975 Payment method:   Check or Money Order       Credit Card If paying by check or money order please print this form and enclose check or money order and mail to: Himalayan International Tours, 126 Madison Avenue, 2nd. Floor, New York, New York 10016 Thank You!

Himalayan International Tours
126 Madison Avenue, 2nd. Floor
New York, New York 10016
Phone: (212) 564-5164
(800) 421-8975
Fax: (212) 564-2188
Email: air@himalayantours.com