Maya Gold Foundation Adult Trip to Nepal Information Request Form
Thank you for your interest in joining the Maya Gold Foundation Trip to Nepal in October of 2021.  We welcome adults over eighteen years of age on this adventure. The trip is scheduled for October 16 to 30, including travel to and from New York JFK airport.  The all-inclusive cost is $4,500, a portion of which is a tax-deductible donation to the Maya Gold Foundation.

Please complete the form below to begin the process, with no commitment.  We will follow up with an information packet by email and a phone call to answer any questions you may have.

We look forward to meeting you!

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First Name *
Last Name *
Email Address *
Date of Birth *
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Cell Phone
Home Phone
Street *
City *
State *
Postal Code *
Best  time to call. *
How many in your party? *
Do you have any physical limitations that we should be aware of? If you answer yes we will discuss details on a phone call. *
How did you hear about this trip? *
Please indicate any additional questions below.
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