Getaways & Discoveries Registration Form

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First & Last Name *

N° of Passengers in Your Party *

Service

(What you are booking)

Date of Your Service *

Example "Monday, September 15th, 2014"

Pick-up Time *

(Example: 09:30 am)

Time

Pick Up Place *

(Valparaiso Cruise Terminal/ SCL Airport/ Hotel/ etc.)

Pick-Up Details *

(Flight N° 123/ Hotel Address/ Cruise Line)

Drop-Off Location

(Valparaiso Cruise Terminal/ SCL Airport/ Hotel/ etc.)

Amount of Luggage *

(None/ 2 Large + 1 Small / etc.)

E-mail Address *

Phone Number *

Billing Preference *

Emergency Contact Number *

Additional Comments

(If you have several tours booked, please detail the dates and pick up times here)

Submit

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