The following information will help us create a trip that will best meet your interest. Please take time to fill it out properly.

(Trip Coordinator/Planner's Personal Information)

1. Name*

2. Gender*Male Female

3. Age:


4. Mailing Address*




5. Phone

6. Fax:


7. Email*



8. Choose statements that best describe you?




 I try to be resourceful when faced with problems

9. Level of physical activity, such as trekking, you are most comfortable?

10. Anything more you want to tell us about your physical health:

11. Is this your first visit to Bhutan?
Yes No

If no, please tell us something about your earlier visit(s):


12. Did you travel or live in any country near Bhutan?

Nepal
India
Tibet
Thailand

Other:





1. Your choice of our Pre-designed Cultural Tour (choose only one):

Any special note:




2. What dates and times would you like to schedule this trip? Use mm/dd/yy thru' mm/dd/yy >>>
1st choice*
2nd choice
3rd choice


3. Would you like to give a special Name to this trip?




4b. How many double or single rooms you need per night:

Double: Single:


5. How active do you want to be?


6. Maximium number of driving hours in day :


7. Maximium number of hiking hours in day :





8. Choose the places you would like to visit. Don't forget to review the information on Driving Distance page >>>




Paro (western Bhutan)
Thimphu (capital)
Punakha & Wangdi Phodrang (western Bhutan)
Phobjikha/Gangtey (western Bhutan)
Tongsa (central Bhutan)
Bumthang (central Bhutan)
Mongar (eastern Bhutan)
Tashigang (eastern Bhutan)
Lhuntse (eastern Bhutan)
Tashiyangtse



1. Total number of participants in the group

Total:*
Male:
Female:


2. Age and physical health of participants who are likely to join the trip with you:

3a. The group wishes to enter Bhutan via (Enter Via)*


3b. The group/I wishes to leave Bhutan via (Exit Via)*

3c.If some members are entering or leaving via different route, mention here:




Choose Special Arrangement of Cultural, Religious and/or Special Interest Activities
Would you like to include any of the following special activities? There will be an additional charge on some of these activities. For more info. email us at info@insidersbhutan.com

Buddhist Prayer Ceremony with monks, nuns & lay-monks


Bhutanese Archery Game


Talk on Tantric Buddhism & Meditation


Masked dance and folk music (Not available during Thimphu festival)


A Fertility Blessing Arrangement


A Vow Renewal & Long life Blessing Ceremony


A Bhutanese Wedding Ceremony



(Trip Duration and Activities Adjustment)
In order to accomodate special programs and activities you choose to customize the trip, in some cases, we may need to either leave out some activities included in the original itinerary or we may need to add few more days to the trip. Please let us know how you would like us to deal with this:

Click here to have a look at our Trip Extension and Add-on options.
Details of trip extension or add-on option (within Bhutan) you would like us to include (optional):







* = Indicates required field

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