Booking Claudia Recillas & Friend

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Booking travel
We are thrilled you are choosing to travel with us.
Please read our terms and conditions well on our website before you fill in this form. You can find them in the footer of our website. There you also find the details of the bank.
Fill in this booking form and we will be in contact with you soon.
Personal data
Full name*
First Last
Date of birth*
Date Format: DD slash MM slash YYYY
Address*
Street Address City ZIP / Postal Code Country
Phone
Please mention:
+ countrycode (0) local phone numbre
+32(0)477 79 50 23
Mobile phone*
Please mention:
+ countrycode (0) local phone numbre
+32(0)477 79 50 23
Email*

Other traveller data
Accomodation preferences*
- I would like a single room
- I would like a double room
- I would like a multi-share room
Note: the preference of your room choice is fixed for your whole travel.
Note: in trekking travels we can’t promise to give you the room of your choice. We need to look at the local accommodations.
Share a room
With whom do you want to share the room with?
First Last
Dietary preferences*
- No specific diet
- Vegetarian
Travel insurance
Please upload a copy of your health insurance
In case you don’t have this please send it us before the trip start.
(File format: pdf or jpg - max file size: 2 MB)
Accepted file types: jpg, pdf.
Health insurance
Please upload a copy of your health insurance
In case you don’t have this please send it us before the trip start.
(File format: pdf or jpg - max file size: 2 MB)
Accepted file types: jpg, pdf.
Medical*
- I'm in good health
- Things you have to know about my health
Medical - Extra information*
If you have any information you want to share about your health or other issues we should know about, please write them in the field below.
Who can we contact in case of an emergency?
Full name*
Phone*
Email*
Relationship with contact*
Extra
Newsletter
- Yes, please send me the Tara Himalayan Vision newsletter by email.
Accept terms and conditions*
- I accept the Terms & conditions of Tara Himalayan Vision