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	*	12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025
Gender	*	Female Male
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?	*	Yes No
Passport Number
Expiry date of your Passport		12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 202520262027202820292030203120322033203420352036203720382039204020412042204320442045
Lodging
Type of Accommodation		Cabin Hotel Other
Tour(s)
Tour's codes (if more than one, separate with a comma)
All tours (the code consists of four characters)		Birdwatching>>>>>>>>>>BW00 Long Day Birding Light. Hike to the Condors’ Cliff and BW03 Birding Light. Valleys plus Subtropical and Cloud ForesBW04 Birding Light. Focus on Birds at the Condors’ Cliff andBW07 Birdwatching Light. In 4WD to Cultural and Natural PatrBW10 Birding Light in 4WD while interpreting Natural & CultuBW16 Birding Light. In 4WD to Patrimonies of Eastern BoliviaBW20 14 Days / 13 Nights . In 4WD while interpreting NaturalBW22 Birding Light in 4WD while interpreting Natural & CultuBW30 Birding Light in 4WD while interpreting Natural & CultuBW32 Birding Light in 4WD while interpreting Natural & CultuBW42 Intense Birding in Refugio Volcanes (best room) with 4WBW43 Intense Birding in Refugio Volcanes (best room) with 4WBW51 Intense Birding in 4WD to Interandean Valleys and MountBW52 Intense Birding in 4WD to Cloudforest of Amboró NP. BW53 Intense Birding in 4WD to Interandean Valleys. From SamBW55 Intense Birding in 4WD to Tucuman Forest and Cloud ForeBW56 Intense Birding, 4WD to Interandean Valley & Cloud foreBW57 Intense Birding in 4WD to Valleys and Cloud forest. LikBW58 Intense Birding in 4WD to Subtropical Mountain Forest, BW59 Intense Birding in 4WD to Subtropical Mountain Forest, BW60 Intense Birding in 4WD trough IBAs of Central Bolivia. BW64 Intense Birding in 4WD to Eastern Bolivia. Dry and FlooBW70 In 4WD trough Central and Western Bolivia. Chaco, ValleBW74 Intense Birding to Eastern and South Bolivia. Dry and FBW76 Intense Birding in 4WD trough IBAs of Central & WesternBW78 Intense Birding in 4WD trough IBAs of Central & WesternBW80 Intense Birding in 4WD through IBAs of Central & WesterBW84 Intense Birding to Eastern and South Bolivia. Dry and FExcursions>>>>>>>>>>EX01 Guided Tour of El Fuerte Ruins and Museum + Inca trail EX01 Exploration to Noel Kempff M. Nat.Park (Los Fierros LodEX01 Photo-Adventure in the River Lajas Canyon + relaxation EX01 Interpretive Hike in Amboró Nat. Park at the Tree Fern EX01 From Santa Cruz. The essence of Samaipata. El Fuerte, NEX03 Nature Interpretation in the Community of Los Volcanes.EX03 From Santa Cruz to Samaipata. El Fuerte and Amboró Nat.EX03 Exploration to Noel Kempff M. Nat. Park (Los Fierros LoEX03 Photographer’s Delight: Lajas Canyon Adventure, ArchaeoEX05 From Santa Cruz.The essence of Samaipata. Culture in ElEX05 Nature Interpretation in the Community of Los Volcanes.EX05 Nature Interpretation in the Yungas inside Amboró N. P.EX07 4WD to Mataral: Traditional Colonial Town, PrecolombianEX09 From Santa Cruz.Total Samaipata panorama. Volcanes lagoEX23 Nature interpretation in Refugio Volcanes (best room) wEX42 Nature interpretation in Refugio Volcanes (best room) wEX43 Nature interpretation in Refugio Volcanes (best room) wFour Wheeling>>>>>>>>>>4W01 The Jesuit Missions of North Chiquitanía, Cultural Patr4W01 Half-Day Tour Fun and Diving at Cuevas River’s three4W03 Jesuit Missions of North Chiquitanía, Cultural Patrimon4W03 4WD Jeep Tour: Traditional Colonial Villages, Waterfall4W05 4WD Jeep Tour to Colonial Villages, Pre-Columbian kilns4W05 Jesuit Missions of South / North Chiquitanía, (UNESCO),4W08 8Days/7Nights in 4WD, one way from Santa Cruz to the Bo4W09 Photo safari in 4WD, Ché Guevara’s road; Vallegrande, P4W11 Photo-safari in 4WD, Old Trade Road between Samaipata &4W21 Roundtrip in 4WD to Natural & Cultural Patrimonies of C4W29 Journey in 4WD to Natural & Cultural Patrimonies of Cen4W31 Journey in 4WD to Natural and Cultural Patrimonies of C4W33 Journey in 4WD to Natural & Cultural Patrimonies of CenHorsebackriding>>>>>>>>>>HB03 Guided Horseback Tour to Archaeological Complex El FuerTrekking>>>>>>>>>>TK03 Trekking through Amboró NP, from the Tree Fern Forest tTK03 Guided Tour of El Fuerte Archaeological Complex (flowerTK05 Trekking at the Archaeological Complex El Fuerte. TK05 Long Day Trekking to the Incan Mesa Archeological Site TK07 From Santa Cruz. Samaipata all trekking. El Fuerte, camTK07 Trekking in Amboró NP, from the Tree Fern Forest to theTK09 Trekking from El Fuerte to the 3 waterfalls of Cuevas.TK09 Trekking in Amboró NP, from the Tree Fern Forest to theTK11 2 long Days Trekking from El Fuerte to the Mesa del Inc
Health (just in case of booking a tour)
Weight (Only if Sesna flights)	*
Height	*
Are you physically active?	*	Yes No
Do you smoke?	*	Yes No
Are you allergic to any medicines, antibiotics, foods or repellents?	*	Yes No
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?	*	Yes No
Do you have any dietary restrictions or foods you cannot consume?	*	Yes No
In case of the affirmative, please state.
Would you like to share your room and/or tent with other passengers?	*	Yes No
Would you like us to decide your roomate?	*	Yes No
If you prefer a single room, are you happy to pay the extra surcharge?	*	Yes No
Details of stay
Estimated date of tour	*	12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 202520262027202820292030
Estimated time of stay	*
Quantity of persons	*	1234567891011121314151617181920
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!	*	Yes
Terms & Conditions
I have read and accept the Terms and Conditions (it opens in a new window).
I agree	*	Yes
Security Code
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