BOOK A TRIP | Adventures to Peru Tours

TRIP APPLICATION INSTRUCTIONS

1. Please fully complete section 1 Passenger Booking Information Form

2. Carefully read and sign (or check I accept) all sections including section 2 (Accept Booking Terms and Conditions). If returning form by email, you MUST check the box in section 2 indicating you have read and understand our (Booking Terms and Conditions).

3. Indicate the form of payment to confirm your booking.

4. Arrival and departure information so we can meet you at the airport

5. Confirm Medical / Travel Insurance for the duration of your trip.

6. Please note that we require passport numbers valid at least 180 days from departure for each passenger. If you must renew your passport please contact us.

7. Note: All * are required fields

1. PASSENGER BOOKING INFORMATION
Trip Name:
Trip Dates*:
Traveler 1*
If traveling with more than one person please check box.
How many total in group
Full Name *	(As Appears On Your Passport)
Preferred First Name
Street Address*
City/State/Zip*
Country*
Telephone (H) *
Work
Cell
E-Mail*
Gender*
Date of Birth*
Passport #*
Passport Expiration Date*
Citizenship*
Medical/Allergies
Emergency Contact Name *
Emergency Telephone*
Dietary Restrictions
Other Dietary Needs	(Allergies, Medical, or other Concerns)
2. ACCEPT TERMS AND CONDITIONS:- Click Here to Read Terms and Conditions
Executed this* , 20
By selecting I accept below you are agreeing to the Terms and Conditions
*	*
3. BILLING INFORMATION
Chosen Method of Payment: (All amounts in USD dollars)
Credit CardPay PalBank TransferCashOther
A booking agent from Adventures to Peru will contact you confirming the amount due in your local currency and give instructions for your payment.
Total $
4. ARRIVAL AND DEPARTURE INFORMATION
Arrival Airline and Flight #
Arrival date	Arrival time
Departure Airline and Flight #
Departure date	Departure time
5. PREFERRED HOTEL ACCOMMODATION Type of accommodation
Single traveler willing to share	Single traveler not willing to share with single supplement
Double Matrimonial (2 travelers, 1 bed)	Twin (2 travelers, 2 beds)
If sharing accommodation with a person not on this form, please write the name of the person below
Name
# of nights pre-tour accommodation	Date of arrival
# of nights post-tour accommodation	Date of departure
Total Amount for Extra Accommodation as per prices on website (optional)
6. MEDICAL INSURANCE
Every traveler with Adventures to Peru must be covered by travel related personal medical insurance. Baggage and cancellation insurance are also highly recommended. I agree to obtain and/or verify that I have the above personal medical insurance, which meets the minimum requirements of Adventures to Peru, and to provide proof of said insurance to Adventures to Peru.
I Accept*
7. PARENT OR GUARDIAN OF A MINOR
I, as a parent or guardian of the below named minor, hereby give my permission for my child or ward to participate in the trip and further agree, personally and on behalf of my child or ward, to the terms of the above.
Name of Minor	Signature of Release
Dated