Application Form
Please fill out and submit following form. After we receive it, we will evaluate your application in good faith and notify you of your acceptance or rejection.
Name*
Gender*
Male
Female
Age*
Choose one
30 - 39
40 - 49
50 - 59
60 and above
Under 30
Your mailing address*
Phone:
Fax:
Email*
Choose statements that best describe you?
Choose one
I like flexibility
I like following a fixed plan
Choose one
I like socializing in a big group
I like being with a small group
Choose one
I enjoy good physical challenge
I want to take it easy
Choose one
I'm willing to compromise with people
I like to have things my way
I try to be resourceful when faced with problems
Level of physical activity, such as trekking, you are most comfortable?
Choose one
Moderate level
Low level
High level
Did you read all the information about becoming our Pre-Trip Co-ordinator?
Yes
No
In what city are you located*?
Any particular trip you wish to join? Provide the name and the dates.
Do you plan to invite your friends, family and/or
collegues to join this trip with you?
Yes
No
If yes, how many people you expect will join:
Did you live or travel in any of the following countires earlier?
Bhutan
Nepal
Tibet
India
Other:
Why do you want to become a Pre-Trip Coordinator?
How would you like to help other trip members?
Which word processing program do you use?
Choose one
Adobe Pagemaker
MS Word
Other:
Any other comments or information that you want us to know:
If you have a website, what is the URL?
Would you like to have us send information about our trips to your friends, family, work colleagues, or neighbors? We can send the information on a beautiful greeting card (with an appropriate picture of Bhutan) with a personal message from you. You will also receive a copy of the card that we send out.
Name
/
Email/Fax/Mailing Address
Personal Message
* - Indicates a required field
Please email us if you need any clarification or you have any Questions.
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