Peru Gypsy Tour Registration

Light of Lemuria
Mermaid Waters, QLD
Australia
Ph: 0405305786
Email: trisha@lightoflemuria.com.au
Web: www.lightoflemuria.com.au
Email address *
Title *
First Name *
Your answer
Last Name *
Your answer
Date Of Birth *
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Passport Number *
Your answer
Passport Expiration Date *
Your answer
Country of Passport *
Your answer
Will you need help with flights and a visa? *
It is compulsory to get travel insurance. Would you like us to help you with this? *
Street Address *
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City *
Your answer
State/Province *
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Zip Code/Postal Code *
Your answer
Country of Residence *
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Phone Number *
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Emergency Contact Information: Please list your emergency contact's name, address, country, phone number(s) and email address *
Your answer
Room Request *
If you are traveling with a companion and want to be paired in the same room, please enter their name here
Your answer
Please list any special dietary or health requirements you have *
Your answer
Departure City *
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What Tour were you interested in? *
Your answer
Dietary restrictions *
Have you been on a spiritual Tour before? *
Required
As this is a spiritual Tour and not a normal tourist style trip, what are you hoping to get out of this experience? *
Your answer
what is your ideal way to travel? *
Required
Are you physically fit for this tour? Any health concerns? *
Your answer
Are you mentally fit for this tour? Any mental illness? *
Your answer
What are your main reasons for wanting to do this spiritual tour? *
Your answer
As this is a spiritual tour, we need to know if you are the type of person who can go with the flow? Or you do not like much change? *
Your answer
Are you able to enjoy group dynamics and follow a set itinerary? *
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If you get accepted, will you be ready to commit to paying your deposit? *
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By clicking yes, you are agreeing and have read the legal terms and conditions including the privacy policy. *
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A copy of your responses will be emailed to the address you provided.
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