ROKPA – Birthplaces of the Karmapas - 2011

I apply to take part in ROKPA Travels 2011: Birthplaces of the Karmapas

in the Eastern Tibetan Areas of China in July 2011

The basic cost of the trip is estimated to be £3,500 (this is approximate due to exact flight costs not being available for July 2011), to be paid by Rokpa to the organisers. Exact costs and dates will be provided prior to 31 January 2011.

Payment will be as follows:

·  I agree to pay a deposit of £1,500 to cover air fares and local hotel deposits, no later than 28 February 2011;

·  Full payment of the balance for the trip will be made to Rokpa UK Overseas Projects 10 weeks prior to departure.

I agree to raise a minimum of £2,000 to be made as a donation towards Rokpa’s work in regenerating the culture of Tibetan areas of China. Of this, a minimum of £1,000 will be donated prior to the trip.

Personal Details

Title / Surname / Forename
Age (min18) / Address
Post Code
Home Tel: / Work Tel: / Other contact
Mobile / Email / Fax

Passport details

Date of Birth / Place of Birth / Nationality
Passport No. / Date and
place of Issue / Date of Expiry
Occupation / Your Marital Status / Father’s Name
Name of next of kin and Tel No.

Conditions of entry: If you have any medical condition that could be affected by high altitudes, or you are over 65, you must get written clearance from your doctor.

·  Visas will be needed and the appropriate immunisation for a visit to China. Advice on how to apply for a visa will be given out with other information, when you have signed up for the trip. Unfortunately, your deposit will not be refundable in the event that you are denied a visa.

·  You must be covered by travel insurance which should include cover for emergency repatriation. Trailfinders' comprehensive insurance policy that can be downloaded from their website, is considered one of the best.

·  Participants must comply with trek leader’s safety and other instructions at all times.

People taking part in ROKPA Travels 2011: Birthplaces of the Karmapas do so at their own risk. Rokpa UK and Rokpa International cannot be held responsible for loss or damage to personal effects, accident, injury or death, however arising. If you are unable to meet the sponsorship requirements you may forfeit your place on the trip.

I accept these conditions of entry:

Signature:…………………………………………………………………………… Date:……………………………

Please email your completed form to Catherine Brown,


ROKPA Travels 2011: Birthplaces of the Karmapas

DEPOSIT PAYMENT FORM

For £1,500

To be received no later than 28 February 2011

Please make cheques payable to ROKPA UK Overseas Projects

Or:

I would like to make payment by Credit or Debit Card (eg. Switch)

Card number:

Valid from: Expiry Date: Issue No: (Switch only) 3 digit security no.

Signature ……….……….……….……….…………………………. Date……………………………………………

Please enclose forms with payment and return to Rokpa in the envelope provided.

MANY THANKS!