Booking Form: Spiritual Adrenaline - The Inca Trail & Machu Picchu

Your Adventure + Traveller Details

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Trip: Spiritual Adrenaline - The Inca Trail & Machu Picchu

Dates: April 6th to April 14th, 2020

Itinerary/Tour Details/Pricing: Click Here

Price: $2,150USD/ person (Based on Double Occupancy)

Please Note: One booking form may be completed for two people sharing a room, however by doing so you both agree to the booking conditions outlined on your quotation. If you are sharing a twin room (2 beds) with a friend, you can complete individual booking forms, however we ask you to identify your roommate in the space provided. Your booking will not be confirmed until all details are collected, and a $750USD deposit is provided and the group size has reached a minimum number of 6 participants.

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* 1. Your Details

How Shall We Address You? (First Name of Lead Contact for Booking)

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* 2. Traveller #1 Contact Information (Required)

Email Address

Primary Phone # for Booking

Address

City

State/Province

ZIP/Postal Code

Country

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* 3. Traveller #1 Passport Information (Required)

Surname

Given Name (First and Middle)

Gender

Date of Birth (YYYY/MM/DD)

Citizenship (Country)

Passport #

Passport Issue Date (YYYY/MM/DD)

Passport Expiry Date (YYYY/MM/DD)

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* 4. Traveller #1 Additional Information (Required)

Medical Conditions (It is very important we know all medical conditions. All information is confidential)

Dietary Restrictions

Emergency Contact Name (someone not travelling on this trip)

Emergency Contact Email Address

Emergency Contact Phone #

Emergency Contact Relationship

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* 5. Traveller #2 Contact Information (Optional)

Email Address

Primary Phone # for Booking

Address

City

State/Province

ZIP/Postal Code

Country

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* 6. Traveller #2 Passport Information (Optional)

Surname

Given Name (First and Middle)

Gender

Date of Birth (YYYY/MM/DD)

Citizenship (Country)

Passport #

Passport Issue Date (YYYY/MM/DD)

Passport Expiry Date (YYYY/MM/DD)

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* 7. Traveller #2 Additional Information (Optional)

Medical Conditions (It is very important we know all medical conditions. All information is confidential)

Dietary Restrictions

Emergency Contact Name (someone not travelling on this trip)

Emergency Contact Email Address

Emergency Contact Phone #

Emergency Contact Relationship

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* 8. What type of room would you like to reserve?

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* 9. Who will you be sharing a room with?

PLEASE NOTE: It is very important that you review the above information, specifically spelling of Passport Information. OUT Adventures is not liable for additional charges that may arise due to spelling mistakes on this form.

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* 10. Please type "I confirm the above details are correct"

Before you confirm your booking, please review Out Adventures' booking conditions outlined here.

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* 1. Your Details

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* 2. Traveller #1 Contact Information (Required)

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* 3. Traveller #1 Passport Information (Required)

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* 4. Traveller #1 Additional Information (Required)

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* 5. Traveller #2 Contact Information (Optional)

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* 6. Traveller #2 Passport Information (Optional)

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* 7. Traveller #2 Additional Information (Optional)

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* 8. What type of room would you like to reserve?

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* 9. Who will you be sharing a room with?

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* 10. Please type "I confirm the above details are correct"

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* 11. Please type "I agree to the Out Adventures Booking Conditions"