Trip Match Request Form


Fill out carefully and submit the following form. We'll find and email you the brief itineraries of the trips that best match your interests.




Name*


Gender* Male Female

Age*


Your mailing address*



Phone:

Fax:


Email*



Choose statements that best describe you?









I try to be resourceful when faced with problems


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



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



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:

Age and physical health of your friends, family or collegues who are likely to join the trip with you:


Travel Dates - use mm/dd/yy thru' mm/dd/yy:

1st choice:
2nd choice:

Are these dates flexible: Yes No

Trip Preference:

Hiking/Walking
Cultural Tour
Trek
Festivals

Other:



Special Interest Activity
Your Interest level


Arts & Crafts including Thangkha painting:



Living art of weaving - Bhutanese textiles


Museum


Dzongs and, Buddhist Monasteries and Temples


Tantric Buddhism & Meditation


Masked dance & folk music by the Royal Dance Troupe


Rural and Village Life


Traditional Architecture


Traditional Medicine


Bhutanese Archery


Traditional Bhutanese Food


Nature and wildlife


Wild flower & birds


Handmade paper & other products


Buddhist prayer ceremonies


How active do you want to be?


Maximium number of driving hours in a day should not exceed:


Day hiking/walking - thru' remote villages, to isolated Gompas


Maximium number of hiking hours in a day should not exceed:



Please note any other info./comments you would like us to know about your travel plans





* - Indicates a required field

If you need any clarification or have questions, please email us at info@insidersbhutan.com.