PERU'S AUSANGATE TREK BOOKING FORM

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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.

What are the start and end dates of your tour? *

Are you going on a solo or group join-in trek? Choose below. *

Solo

Group Join-In

Solo but open for others to join the trek

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. *

Shared

Single

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? *

YYYY

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. *

YYYY

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. We will send you a link to e-sign the forms. *

NOTE - Your booking is not confirmed until we receive the trip deposit along with the booking form. Before submitting the form, click on the following link to send your trip deposit: PAY TRIP DEPOSIT. Send both to secure your spot for the trip.

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