First
name*
Surname*
Age
ground*
Choose
age ground
under
25
25-36
37-45
46-60
above
60
Gender*
Male
Female
Email
address: *
Country*
Nationality:
(as same on your
passport )
Day phone number*
(Country code- Area
code - Number )
Evening phone number*
Best
time to reach you
Full
address
Mailing address*
Do
you have a medical
condition? If so please
provide details *
Meals requirement:
I am vegetarian
Where
did you hear about us?
2. BOOKING
TERMS AND CONDITIONS
All
guests must read and agree to
our Booking
Terms and Conditions
to continue
with the booking. (opens
a new window )
I
have read and accept the Terms
and Conditions*
Yes
No
3. TOUR DETAILS Tour
name and cost (please tick)*
Desired tour date*
Please
enter details of other guests
travelling with you on this
tour.
4. PAYMENT INFORMATION*
Do you
wish to pay deposit of US$
200 or full payment?
Pay in full
Pay deposit only
Please
pay in either of the following
ways. (please tick)
International
money transfer service
Please contact your local
Western Union or Money Gram
office for more information
on costs and availability.
Have they sent funds to "Barsbold
Baatarsuren" for the appropriate
amount in US dollars
.
Mr. Barsbold Baatarsuren
Black Ibex Expeditions
414, Khan bank building, 2nd
khoroo,
Chingeltei district, Ulaanbaatar
, MONGOLIA
After the Western Union or
Money Gram has been sent,
please send us the control
number with the sender's full
name. We will confirm your
trip as soon as we receive
your payment.
To visit Money Gram
or Western Union ) (opens
a new window )
Bank
transfer to our account
Bank name
and address:
Account name:
and address
Account No:
Swift code:
Correspondent bank:
Nostro accounts:
ABA routing
number:
Swift code:
Golomt Bank
Sukhbaatar Square 3, Ulaanbaatar
Mongolia
Black Ibex Expeditions ltd
414 Khan Bank Building, 2nd khoroo, Chingeltei,
district, Ulaanbaatar, MONGOLIA
21220028 (payments in US Dollar)
GLMTMNUB
HSBC BANK USA, NEW YORK
000123447 (payments in US
Dollar)
021001088
MRMDUS33
From
Visa card