Booking Form

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Booking Form

by Mountaineering Patagonia

Email *

Thank you for choosing Mountaineering Patagonia. Please follow the instructions in order to complete your reservation:

• Read with attention the “Terms and Conditions”, before you make the reservation
• To confirm the reservation, we will request 30% down payment, from the program that you have chosen.
• For bookings made 30 days or less before the start of the program, we will request the full payment.
• In all cases, the full payment should be made 30 days before the start of the activity.

REQUESTED PROGRAM *

PROGRAMED DATES *

YYYY

NAME & LAST NAME *

BIRTH DATE *

YYYY

PASSPORT N° *

NATIONALITY *

GENDER *

Male

Female

PHONE NUMBER *

EMAIL *

To Contact you

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