PERU'S AUSANGATE TREK BOOKING FORM
Please complete and submit this form. Thereafter, you will receive a payment link to send your trip deposit. If you have any questions, email us at equity@browngaltrekker.com.
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What are the start and end dates of your tour? *
Are you going on a solo or group join-in trek?  Choose below. *
Required
TRAVELER INFORMATION
Please provide your name. *
What is your address? *
What is your phone number? *
What is your email address? *
What is your gender? Accommodations are on a shared basis. Same genders will share accommodation. *
ACCOMMODATION STYLE
Choose one.  Note that for single room, additional fees apply. *
Do you need hotel stay before or after the trip? Please specify the dates and if it's single or shared. If not, type NA. *
PASSPORT & VISA DETAILS
The set of information below maybe required to obtain visa and book the flights as part of your trip.  Also, please note a scanned copy of your passport is required.
What is your nationality? *
What is your passport number? *
Please provide your date of birth. *
What is your passport's date of issuance? *
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What is your passport's expiration date? Please note your passport must not have at least 6 months on its validity upon entering the country. *
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Any dietary requirements? *
EMERGENCY CONTACT INFORMATION
Name: *
Email address: *
Phone Number: *
Any medical condition? *
Do you have a promo code? Enter it below.
Additional comments?
TERMS & CONDITIONS / WAIVER OF LIABILITY
Please make sure you read in full the terms and conditions and waiver of liability before booking.  You can read the documents via
https://www.browngaltrekker.com/tour-terms-conditions
https://www.browngaltrekker.com/tourliabilitywaiver
Did you review and thereby accept the terms and conditions as well as the waiver of liability?  Please type YES below. *
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