Name as appear on Passport *
Name as appear on Passport
Select EBC/ Gokyo/ ABC
Where are you obtaining this? P.S. Use Fuji Hotel, Thamel 44600, Kathmandu as your address in Nepal
Covers Helicopter Rescue for Treks up to 6000m
You will be required to download the Eyes4Everest App and use it during the eye missions
Flight Number 00:00 DD/MM
Flight Number 00:00 DD/MM
Gear Hire for the Trek *
Additional cost of 1USD per item per day.
Have you organised the following?
*Past volunteers have found $400 AUD sufficient for their own personal use, but you may wish to bring more in case of extra souvenir shopping or the like"
Final Payment of $2000 AUD*
This is required before 31 May 2017. Please deposit this amount to the following bank account and include your name in the REFERENCE Acc Name: Eyes4Everest Inc BSB 012 298 Acc No. 2921 95355 Due to operational requirements, failure to pay the balance by the due date may incur loss of your place on the trek and forfeiture of your deposit. If there are extenuating circumstances, please contact us at info@eyes4everest.org.au
Date of Final Payment*
Date of Final Payment*