N E P A L, BH U T A N & TI B E T

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1 N E P A L, BH U T A N & TI B E T 17 days September 30-October 16, 2016 Cost: Nepal and Bhutan $4,573 + Tibet Extension $1,495 Airfare: $1,700 + Tibet Extension $792 Nestled between the Himalayan mountains and the Indian jungle plains lies Nepal, a country bursting with possibility. Opportunities include anything from admiring an unmatched view of the crested peaks to exploring the structural wonders of Buddhist temples. The monasteries in Bhutan also provide a glimpse into the natural charm of a country which prides itself on its Gross National Happiness. As the highest region on Earth, Tibet offers breath-taking views and a distinctly spiritual feeling propagated by the numerous monks inhabiting picturesque cliff-side retreats.. Join the Council's Director of Programs, Chetana Baskota, on this three-country journey to Nepal, (her homeland), Bhutan, and Tibet for the trip of a lifetime. CONTACT MANDY SEYMOUR FOR MORE INFORMATION: MSEYMOUR@WACHOUSTON.ORG, VISIT OR CALL World Affairs Council of Houston Box Houston, TX phone: fax:

2 NEPAL - BHUTAN with TIBET Extension World Affairs Council of Houston September 30 - October 12, 2016 / with extension October 16, 2016 NEPAL & BHUTAN ITINERARY SUMMARY Thimphu 3 Nights / Paro 2 Nights / Kathmandu 4 Nights / Pokhara 1 Night / Day 1: Fri, Sep Departure Leave Houston, USA for Paro, Bhutan. Day 2: Sat, Oct In transit Day 3: Sun, Oct Paro - Thimphu Arrival & Check-in. Drive to capital Thimphu. Overnight: Thimphu / Meals: D Day 4: Mon, Oct Thimphu Sightseeing in and around Thimphu. Overnight: Thimphu / Meals: B / L / D Day 5: Tue, Oct Thimphu Sightseeing in Thimphu. Overnight: Punakha / Meals: B / L / D Day 6: Wed, Oct Thimphu - Paro Sightseeing in Paro. Overnight: Paro / Meals: B / L / D Day 7: Thu, Oct Paro Hiking to Tiger s Nest Monastery (optional.) Overnight: Paro / Meals: B / L / D Day 8: Fri, Oct Paro - Kathmandu Fly to Kathmandu. Sightseeing. Overnight: Kathmandu / Meals: B / L / D

3 NEPAL - BHUTAN with TIBET Extension World Affairs Council of Houston September 30 - October 12, 2016 / with extension October 16, 2016 NEPAL & BHUTAN ITINERARY SUMMARY (continued) Day 9: Sat, Oct Kathmandu Full-day city tour. Overnight: Kathmandu / Meals: B / L / D Day 10: Sun, Oct Kathmandu - Pokhara Fly to Pokhara - Visit of Pokhara area. Overnight: Pokhara / Meals: B / L / D Day 11: Mon, Oct Pokhara - Kathmandu Continue sightseeing in Pokhara area. Fly to Kathmandu. Overnight: Kathmandu / Meals: B / L / D Day 12: Tue, Oct Kathmandu Continue sightseeing around Kathmandu. Overnight: Kathmandu / Meals: B / L / D HIGHLIGHTS: Durbar Square in Kathmandu. Himalayas. Patan City, Nepal. Potala Palace, Tibet. Memorial Chorten in Thimphu. Gross Happiness of Bhutan. Tiger s Nest Monastery, Paro, Bhutan. Day 13: Wed, Oct Departure Transfer to airport for return flight. Or continue with Tibet extension Overnight: / Meals: B

4 NEPAL - BHUTAN with TIBET EXTENSION World Affairs Council of Houston September 30 - October 15, 2016 TIBET EXTENSION ITINERARY SUMMARY Lhasa 3 Nights / Kathmandu 1 Night / Day 13: Wed, Oct Kathmandu - Lhasa Fly to Lhasa / Tibet. Short sightseeing & acclimatization. Overnight: Lhasa / Meals: B / L / D Day 14: Thu, Oct Lhasa Lhasa city tour. Overnight: Lhasa / Meals: B / L / D Day 15: Fri, Oct Lhasa Visit Potala Palace and Sera Monastery. Overnight: Lhasa / Meals: B / L / D Day 16: Sat, Oct Lhasa - Kathmandu Fly back to Kathmandu. Rest of the day at leisure. Overnight: Kathmandu / Meals: B Day 17: Sun, Oct Transfer for return flight. Meals: B Departure

5 HOTELS Kathmandu: Apsara Boutique Hotel A brand new boutique hotel located in the center of the city. It will start operating in October All modern facilities, wi-fi in the rooms. Pokhara: Temple Tree Resort & Spa Temple Tree Resort & Spa is a boutique hotel combining western standards with the distinctive architecture and culture of Nepal s Western Himalayas. All rooms are climate controlled, feature LCD television with satellite feeds as standard, and access to free Internet through our Wi-Fi network in the rooms as well as around the hotel. Lhasa: Manasarovar Hotel Lhasa Manasarovar Hotel is one of the 5-star hotels in Lhasa. It is situated in Yangcheng Square in Gongbutang Road, Lhasa, with the beautiful Lhasa River cross. Thimpu: Druk Hotel hoteldruk/wp-content/uploads/2015/06/red-150x150.jpg Hotel Druk, nestled in the heart of Thimphu, is in the center of the city's vibrant business, leisure and government landmarks. This distinctive four-star deluxe hotel is a relaxed and elegant haven. Hotel Druk offers newly refurbished choice accommodations. The rooms have all modern facilities and wi-fi connection. Paro: Khangkhu Resort Perched on the mountain slopes above the airport and opposite the important Paro Dzong and historical Taa Dzong, the National museum, this location offers all our guests a magnificent view of the Paro valley from the comfort of their bedroom or private verandah. The resort has a multi-cuisine restaurant, meditation center, highspeed internet and sun deck.

6 INCLUDED SERVICES: 14 Nights hotel accommodation with breakfast in double room in listed hotels. (10 Nights in the main tour + 4 Nights in Tibet extension.) Daily breakfast, lunch and dinner with two special meals. Drinking water during all included meals. English speaking professional tour guides in each country. Transportation with private vehicles with very good drivers. Arrival and departure transfers - only for suggested flight arrival & departures. 2 domestic flights in Nepal (Kathmandu - Pokhara - Kathmandu.) Two small bottles of water per person per day on the bus everyday. All entry fees to places mentioned in the itinerary. Cultural program with farewell dinner in Bhutan. A lecture on Gross National Happiness in Bhutan. Porterage at hotels. Tips for meals and accommodations. Visa fee for Tibet. Up to $100,000 per person emergency medical expense benefit & emergency medical evacuation by Medex. NOT INCLUDED: International airfares. Visa fees for Nepal and Bhutan. Drinks with included meals, except tea or coffee for breakfast. Gratuities for guides & drivers. Personal expenditures like phone calls, laundry, medical expenses. Additional travel insurance (can be provided by Tourcom on request.)

7 FLIGHTS Suggested flights will be on Emirates via Delhi. Connection to Paro / Bhutan will be on Druk Air. And Druk Air does not have many gateways to connect from; Delhi offers the best connections. SEP 30 HOUSTON TO DUBAI EK 212 DEP: 7:00 PM / ARR: 7:05 PM ON OCT 1 OCT 1 DUBAI TO DELHI EK 512 DEP: 10:00 PM / ARR: 2:45 AM ON OCT 2 OCT 2 KB 241 DELHI TO PARO DEP: 11:50 AM / ARR: 3:45 PM OCT 12 KATHMANDU TO DUBAI FZ 574 DEP: 11:00 PM / ARR: 1:55 AM ON OCT 13 OCT 13 EK 211 DUBAI TO HOUSTON DEP: 9:05 AM / ARR: 4:40 PM EK: Emirates / FZ: Fly Dubai / KB: Druk Air The fare for EK+FZ portion is $1180 including taxes, surcharges and fees as of Nov 19, The fare for KB portion is $375 including taxes, surcharges and fees as of Nov 19, Important Notes: > Tour members can arrange their flights Houston - Delhi - Houston via Tourcom or on their own. > Delhi - Paro flight on KB has to be arranged through Tourcom, since it will be issued by local operator and requires visa clearance from Bhutan. > For tour members who will join the Tibet extension, return date will be OCT 16. > Rates are valid as of dates given above. Not guaranteed until booked and paid in full. Once issued, tickets are non-refundable. For help arranging your flights, contact Ilyas Hokkaci at (201) x 701

8 Thimphu - Bhutan NEPAL - BHUTAN & TIBET EXTENSION with WORLD AFFAIRS COUNCIL OF HOUSTON September 30 - October 12, Days / 10 Nights With Tibet Extension September 30 - October 16, Days / 14 Nights DAY-BY-DAY ITINERARY Day 1: Fri, Sep Houston to Paro - Bhutan We will leave U.S.A. for Paro, Bhutan. Day 2: Sat, Oct In transit Day 3: Sun, Oct Paro - Thimphu, Bhutan Upon arrival at the Paro International Airport in Bhutan, our guide will meet us and transfer us to our hotel in Thimphu, the capital city. Rest of the day at leisure. Overnight in Thimphu. Overnight in Thimphu Meals: D Day 4: Mon, Oct Thimphu There are a good many things to see in the capital, which has a population of approximately 100,00 people. After breakfast, we will visit Kuensel Phodrang, where we will feel the grandeur of the world's largest sitting Buddha and enjoy a great bird's eye view of the Thimpu Valley. We will continue on to the Takin Preserve to learn about the national animal of Bhutan. After lunch, we will visit the National Institute for Zorig Chusum, the school of 13 forms of traditional arts and crafts, commonly referred as the painting school, to see how the new generation of the Bhutanese artists are learning and creating. In the late afternon or early evening, we will visit the Memorial Chorten built in 1974 to commemorate the third King, Jigme DorjiWangchuck, popularly known as 'the father of the modern Bhutan.' The chorten or stupa is where the pious, young and old alike gather every morning and evening to circumambulate, making it a local favorite spot. Overnight in Thimphu

9 Punakha - Bhutan Day 5: Tue, Oct Thimphu We will take a morning tour to the Changangkha Lhakhang, which is considered to be the oldest tantric temple of Bhutan, built in the 12th century by Lama Phajo, who came to Bhutan from Ralung, Tibet. Then, we will visit Zilukha Nunnery in Drubthob, the biggest nunnery established by the multitalented Lama Thenthog Gyalpo in the 15th century. After lunch, we will have a lecture on Buddhism in Bhutan. We will then drive to Tashichho Dzong or fortress, the administrative headquarters of the government, to be there at 5pm. While the northern half of the fortress is spared for the monks, the southern half houses the office of the King, the Prime Minister's office and the Office of the Gross Happiness Commission. Overnight in Thimphu Day 6: Wed, Oct Thimpu - Paro Before heading to Paro, we will enjoy the local farmers market in Thimpu, the largest in the country, where farmers from nearby villages sell their produce. Then we will visit Rinpung Dzong, fortress on a heap of jewels the religious and secular center of Paro. The dzong was first conceived in the 15th century, and finally consecrated in Overnight in Paro

10 Tiger s Nest - Paro - Bhutan Day 7: Thu, Oct Paro - Tiger s Nest Today we will go on a strenous but rewarding hike to visit Taktsang Monastery (Tiger's Nest). Important note: Hike to Tiger s Nest Monastery is an arduous one; 2.5 hrs uphill, 1 hr spending there; 1.5 hrs downhill. So it takes practically the whole day. Any tour member who does not want to do the full hike, can either go up to the half way, see the scenery and come down or visit Kyichu Lakhang Temple and farmhouse and return back to Paro to for a leisure time. The trail to the monastery climbs through a beautiful pine forest. We will continue at a leisurely pace and have a picnic lunch on the way. Built in 1600s, the imposing monastery clings to the edge of a sheer rock that plunges 2953 ft in the valley below. It is believed that, in the 8th eentury, Guru Rimpoche, the tantric mystic who brought Buddhism to Bhutan, landed here on the back of a flying tigress to subdue a demon. He is believed to have meditated here to be followed by numerous Buddhist masters over the centuries. It is considered one of the most sacred places for Buddhists. Time permitting we can also visit the 7th century sacred Kyichu Lakhang Temple and a typical farmhouse on our way. Overnight in Paro Day 8: Fri, Oct Paro / Bhutan - Kathmandu / Nepal In the morning we will be transferred to the airport to fly to Kathmandu. Upon arrival, we will visit Patan. The ancient name of Patan is Lalitpur, meaning the city of beauty. Its most photogenic center of attraction is its Durbar Square complex. The city is full of Buddhist monuments and Hindu temples, with fine bronze gateways, guardian deities and wonderful carvings. Overnight in Kathmandu

11 Kathmandu - Nepal Day 9: Sat, Oct Kathmandu and Two Temples *Due to the earthquake, many buildings in Kathmandu City (old Kantipur) have either collapsed totally or been damaged and now are under renovation. If the renovations are not finished until the group arrives, we will instead visit other towns around the city. Early in the morning (6:30 AM) Optional Mountain Flight to see the Himalayas: Tour members who want to join this flight will be transferred to take the one-hour flight. After the flight, back to the hotel to have breakfast. In the morning we will have a sightseeing tour of Kathmandu, originally known as Kantipur. We will visit the Durbar (Palace) Square, starting with the inner palace complex of Hanuman Dhoka and Gorkha Durbars, the traditional seat of the Nepalese royalty, which were converted to museums and the Kumari Ghar (house), the residence of the Kumari; the Living Goddess of Kathmandu. We will also see the Kasthamandap, an unusual temple built from a single tree and gave its name to the city. After lunch, we will visit the Boudhanath Stupa. This stupa is one of the biggest in the world of its kind. It stands with four pairs of eyes in the four cardinal direction keeping watch for righteous behavior and human prosperity. Then we will visit the Pashupatinath Temple, Nepal s most important Hindu Temple dedicated to Shiva. Situated amidst a lush green natural setting on the bank of the sacred Bagmati River, the temple was built in pagoda style and has gilded roof and richly carved silver doors. Visitors will be permitted to view the temple from the east bank of the Bagmati River. Entry to the temple is strictly forbidden to all non-hindus. We will have our welcome dinner at a special restaurant with Nepalese delicacies and cultural show. Overnight in Kathmandu Day 10: Sun, Oct Kathmandu - Pokhara Transfer to the airport to fly to Pokhara, a remarkable place of natural beauty with several lakes and stunning panoramic views of the Annapurna Mountain Range. We will visit International Mountain Museum, and then enjoy a boat trip on the Phewa Lake and see the Barahi Temple, which is right on a small island on the lake. Overnight in Pokhara

12 Kathmandu - Nepal Day 11: Mon, Oct Pokhara - Kathmandu We will have a short hike to Sarangkot to view the amazing sunrise before breakfast. After breakfast, we will enjoy the Gurkha Museum and the Gupteswar Cave. Then we will go to the Tibetan Refugee Camp to visit the SOS Children's Village. In the afternoon, we will fly back to Kathmandu. Depending on actual flight arrival time we may have time to drive to Bungamati, a pleasant traditional Newari village that dates back to the 16th century. Overnight in Kathmandu Day 12: Tue, Oct Kathmandu Today we will have and excursion to the towns of Bhagtapur and Kirtipur located near Kathmandu. Kirtipur, a traditional Newari town, has a wonderful sense of faded grandeur thanks to the impressive medieval temples dotted around its backstreets. When Prithvi Narayan Shah stormed into the valley in 1768, he made a priority capturing Kirtipur to provide a base for his crushing attacks on the Malla kingdoms. Kirtipur's resistance was strong, but eventually, after a bitter siege, the town was taken. The inhabitants paid a terrible price for their brave resistance-the king ordered that the nose and the lips be cut off every male inhabitant in the town, sparing only those who could play wind instruments for his entertainment. Overnight in Kathmandu Day 13: Wed, Oct Departure In the morning we will be transferred to the airport for our return flight to the USA or Tibet for the extension.

13 Lhasa - Tibet TIBET EXTENSION / 4 NIGHTS Day 13: Wed, Oct Kathmandu - Lhasa / Tibet In the morning we will fly from Kathmandu / Nepal to Lhasa Tibet on Air China. This one hour trans- Himalayan flight will give us an opportunity to have an aerial view of Mt. Everest and other Himalayan Peaks (weather permitting). Arrival at Gonggar Airport 2:05 pm. After clearing immigration and customs, we will meet our guide and drive to Lhasa, which is situated, at an altitude of 3650 meters. On the way to our hotel, we will visit the Lhasa Museum. home to a rich collection of cultural relics, antique thangkas, scriptures, costumes, and folk art. Overnight in Lhasa Day 14: Thu, Oct Lhasa High altitude takes time to get used to. We will rest in the morning in our room till lunch at a local restaurant. Then we will visit Norbulingka, the summer residence of the successive Dalai Lamas from the 1780s to It was built by the 7th Dalai Lama and served both as the administrative and the religious center. It's a unique representation of the Tibetan palace architecture. Covering an area of approximately 89 acres, Norbulingka has the largest man made garden in Tibet, where the annual «Yoghurt Festival» is held. We will continue with the Jokhang Temple, the spiritual heart of Tibet. It was built as a shrine in the 7th century by King Srong Tsan Gampo for a Buddha statue called Jobo, which is richly decorated in jewels, brocade and silk bands. The architectural style of the temple is a combination of the Indian Vihara, the Chinese Tang Dynastyand the Nepalese Newari designs. The walk around the temple is called Barkhor and is considered sacred to all pilgrims. It is a famous bazaar for the Tibetan crafts. Overnight in Lhasa

14 Lhasa - Tibet Day 15: Fri, Oct Lhasa Perched upon Marpo Ri Hill, 130 m. above the Lhasa Valley, Potala Palace rises a further 170 m. and is the greatest monumental structure in all of Tibet. Being the chief residence of the Dalai Lamas from the 5th to the 14th Dalai Lama, the palace has more than 1000 rooms, shrines and about statues. It is now a museum and a World Heritage Site. As it was never damaged badly, all the chapels and their artifacts are very well preserved. In the afternoon we will drive to Sera Monastery, which was built in 1419 by a pupil of Tsongkhapa, Jamchen Chojey, and is one of the great three Gelug university monasteries of Tibet, along with the Ganden and Drepung Monasteries. It is a complex of the Great Assembly Hall and three colleges. Overnight in Lhasa Day 16: Sat, Oct Lhasa / Tibet - Kathmandu / Nepal In the morning we will be transferred to the airport to fly to Kathmandu. Upon arrival, we will be transferred to our hotel. Rest of the day at leisure in Kathmandu to explore on our own. Overnight in Kathmandu Meals: B Day 17: Sun, Oct Departure In the morning we will be transferred to the airport for our return flight. Meals: B

15 TRIP COMMITMENT FORM NEPAL and BHUTAN with Tibet Extension September 30-October 12, 2016 (with extension October 12-16) Please select one: New Traveler Regular Traveler (1-3 trips) Frequent Traveler (4+ trips) I would like to register for: Nepal & Bhutan only Nepal & Bhutan + Tibet Extension Contact Information First Name: Last Name: Name As It Appears On Passport: Street Address: City, State, Zip: Home phone: Cell Phone: Passport Information Number: D.O.B: Issued: Expires: Citizenship: Authority: Emergency Contact Information Name: address: Phone: Tour Costs: Nepal and Bhutan Tibet Extension address: Tour Cost (est.): $4,573 $1,495 Payment Information Single Supplement: $897 $386 Circle one: AMEX MC VISA Check Airfare (est.): $1,700 $792 Card Number: Tips (est.): $180 $64 Name on card: Single Supplement: Sharing a room with : YES NO Visa: $25 YES NO Expiration Date: CVS Code (required): Check #: World Affairs Council of Houston Trip Commitment Form Page 1 of 6

16 By providing the World Affairs Council of Houston your credit card information you are authorizing the use of your credit card to make these trip payments: 1. Deposit of $500 is due with application. The deposit is non-refundable unless World Affairs Council cancels the trip. 2. The final tour payment due on June 15, Payment for tips due on June 15, *Please note that if you do not indicate a roommate and none is available, you will be charged for a single supplement. If a traveler pays in full by check, they will receive a slight discount. Flight Arrangements check one: I plan to book the suggested flight* on my own I will make my own custom flight arrangements Notes: I plan to book the suggested flight* with the assistance of the World Affairs Council. Travelers not taking the group flight MUST: 1. Provide World Affairs Council of Houston a copy of your flight itinerary at least two weeks prior to the departure date. 2. Arrive at the destination no later than the group. Health Policy Notice Participants in any Council trip must be in good physical and psychological health and be able to keep up with the pace of the group. Does your health allow you to: Travel internationally? Yes No Walk on uneven surfaces and varied terrain? Handle your own luggage? Yes No Climb up and down stairs/hills without help? Enter and exit a motor coach easily? Yes No Walk for long distances (up to 3 hours)? List any medical conditions you have that we should be aware of: Yes No Yes No Yes No List any medications you are taking: World Affairs Council of Houston Trip Commitment Form Page 2 of 6

17 List any allergies (including food allergies): Primary care physician contact information Physician s Name: Physician s Phone Number: The Council has the right to refuse the participation of any applicant if it decides that the applicant's condition is not adequate for a group tour. Traveler Preferences and Additional Information: Dietary Preferences: Regular Vegetarian Other: I am allergic to: Leisure Preferences: I enjoy some leisure time I enjoy ample leisure time I prefer very little leisure time Other: Lodging Preferences: 3 star 3-4 star 4 star 4-5star 5-star Other: Preferred Touring Pace: Fast-paced Moderate Slower, more relaxed Slow with ample rest breaks World Affairs Council of Houston Trip Commitment Form Page 3 of 6

18 Liability Waiver RELEASE OF LIABILITY I (print name) am participating in the World Affairs Councilsponsored travel to Nepal, Bhutan (and Tibet extension if applicable). I hereby RELEASE, WAIVE, DISCHARGE AND AGREE TO HOLD HARMLESS the World Affairs Council, including any employees, agents, or representatives of the World Affairs Council or assignees or successors thereto ( Releasees ), from and against any and all liability, claims, demands, actions, or causes of action whatsoever, including but not limited to negligence, personal or bodily injury, including death, property damage, losses and expenses, other damages, or attorneys fees, arising out of or in any way related to participation with this Trip. I am aware that there are possible risks and dangers associated with my participation in the trip. I hereby choose to voluntarily participate in said Trip with full knowledge that said Trip may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such an activity, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise. BY SIGNING THIS WAIVER OF LIABILITY AND RELEASE, I ACKNOWLEDGE AND REPRESENT that I have read and understood this document, waiver of liability, and the travel information provided by the World Affairs Council. I fully agree and understand all terms and conditions incorporated into this document and waiver of liability. Name: (Printed) Signature: Date: I am signing to give parental consent on behalf of my son/daughter who is a minor. Minor s Name: (Printed) Signature: Date: World Affairs Council of Houston Trip Commitment Form Page 4 of 6

19 Refund & General Travel Policy Notices Please initial on every line to indicate your agreement to these terms (required): Your reservation will be confirmed upon receipt of your $500 deposit. The deposit is not refundable unless the Council cancels the trip. Any cancellation after final payment is made, regardless of the reason or circumstances, will result in a full loss of payment. Unless otherwise stated, travel insurance is NOT included in the World Affairs Council of Houston s trip package. The Council encourages you to evaluate your own specific needs when considering travel insurance and is available, upon request, to assist your search. If any traveler proves to be either slowing down the group or harmful to her/himself or to the group, the Council has the right to terminate that traveler s expedition without any refunds. World Affairs Council travelers are prepared to obey and respect the laws of the United States as well as the laws of the country/countries they are visiting. The World Affairs Council of Houston is responsible for the arrangements and services described in their brochures. World Affairs Council of Houston, its employees, and agents cannot be held responsible, in the absence of their own gross neglect, for events over which they have no control, nor for acts and omissions by persons, companies or agencies, including hotels, airlines, restaurants, and sea and land transportation companies or any other unnamed entities that are not directly controlled by the World Affairs Council of Houston. Acknowledgement (required): I have read, understand, and agree to the terms and conditions stated in this form and I confirm that all the information is accurate. I understand that Council trips often include walking tours, which last 1-3 hours at a time and are reasonably paced. I agree that my health allows me to comfortably participate in walking tours. World Affairs Council of Houston Trip Commitment Form Page 5 of 6

20 I understand that a deposit of $500 is due with this form to assure my reservation. This deposit is non-refundable unless the World Affairs Council of Houston cancels the trip. Checklist: Please make sure that you have checked all three of these boxes before proceeding to sign. Have you submitted a color photocopy/scan of you passport? Have you submitted a color photocopy/scan of your health insurance card? Have you filled in all required fields of this trip commitment form? Signature: Printed Name: Date: Please share comments or any additional information you would like us to know: Send completed Trip Commitment Form, a color copy of your passport and required documents via the following: * preferred if possible. to: mseymour@wachouston.org Fax to: Mail to: World Affairs Council of Houston PO Box Houston, Texas World Affairs Council of Houston Trip Commitment Form Page 6 of 6

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