Discovering Bolivia: BOOKING | Michael Blendinger Nature Tours

Reservation of Accommodation and/or tour(s)

Please complete this form to reserve your accommodation and /or tour(s). This information will be kept strictly confidential.

This FORM is for RESERVATIONS. If you require INFORMATION only, please use the Contact us.

Personal
First name	*
Last name	*
Date of birth	*
Gender	*
Nationality	*
Profession
Contact
Telephone
Evenings Phone
Cell-phone
Address	*
City	*
Postal Code
State / Province	*
Country	*
Email address	*
Your contact in case of emergency and/or your Insurance Company : (Name, Address, Phone, Email, Fax, Relationship)	*
Passport number
Do you have a valid passport?	*
Passport Number
Expiry date of your Passport
Lodging
Type of Accommodation
Tour(s)
Tour's codes (if more than one, separate with a comma)
All tours (the code consists of four characters)
Health (just in case of booking a tour)
Weight (Only if Sesna flights)	*
Height	*
Are you physically active?	*
Do you smoke?	*
Are you allergic to any medicines, antibiotics, foods or repellents?	*
Existing Medical Conditions, possible risky situations that could affect you participation in or safety during the tour, pls., DESCRIBE THEM. Please consult your doctor beforehand.	*
Your Preferences (just in case of booking a tour)
Are you vegetarian?	*
Do you have any dietary restrictions or foods you cannot consume?	*
In case of the affirmative, please state.
Would you like to share your room and/or tent with other passengers?	*
Would you like us to decide your roomate?	*
If you prefer a single room, are you happy to pay the extra surcharge?	*
Details of stay
Estimated date of tour	*
Estimated time of stay	*
Quantity of persons	*
Other
How did you hear about us?
Questions / Comments
Payment
I am happy to pay at least 50% deposit before hand with the remainder being paid in full prior to commencement of the tour. I understand that the reservation form, my participation aswell as the deposit is accepted by Michael Blendinger Nature Tours and is subject to their terms and conditions and I have stated to the best of my knowledge my medical and physical state as is my responsibility. I agree as signed participant of this tour to abide by the code of responsibility that I have signed This form is accompanied with the required deposit.
I agree!	*
Terms & Conditions
I have read and accept the Terms and Conditions (it opens in a new window).
I agree	*
Security Code
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