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Horseback Tours Agreement
FULL NAME (AS IT
APPEARS ON PASSPORT)
___________________________________________________________________
ADDRESS____________________________________________________________
PHONE
(_______)______________________
CITY___________________________STATE/PROV______ZIPCODE_____________
FAX(__________)
____________________
Email_______________________________
DATE OF
BIRTH_________________________
GENDER_______________________________
CITIZENSHIP_________________PASSPORT N0._____________________
EXPIRES___________
Enclosed is my
deposit of $600.00 US funds to secure space on HorseBack Tours with
optional additional tours.
I understand that
this deposit is non-refundable except if the tour is canceled by
HorseBack Tours
Check #
______________ Money Order # ____________ Visa_____________________MC_________________________
For Credit card payment see form below. This mandatory form must be
faxed and original sent by mail.)
I understand that
tour dates are _________________________. Total cost for tour is
$______________US. Plus $_________single supplement if applicable. I
agree to pay these monies 60 days before departure. NO REFUNDS after 45
days before departure.
Change of
itinerary fees will apply after tickets are purchased.
Trip cancellation insurance is optional. Price not included. To
purchase:
One Travel Insurance
660 Preston Forest Center
PMB 384
Dallas, TX 75230
toll free: (800) 694-4311
international: +01 (972) 980-2894
Fax (214) 853-4124
or to purchase on
line -
http://www.1travelinsurance.com
Travel insurance
is not affiliated with HorseBack Tours.
I have trip cancellation insurance with ______________________________
Policy #________.
I decline trip cancellation insurance_______.
I will join the tour on (date)________________ and depart on
(date)________________.
AIR TRAVEL
I am reserving space including airfare _____________. Cost to be
determined.
Departure city
is___________________________________________________.
I am reserving space without airfare; I will get to Peru on my
own________(initial here)
I will arrive in Peru on (date) __________. Please have your travel
agent pick me up at the Lima airport from airlines ______________flight
_________ at _________ o’clock AM/PM
HOTEL
My roommate for the trip
is_________________________________________________.
whose agreement is enclosed ________ or arriving separately ________.
I do not have a roommate for the trip, please match me with one if
possible __________.
I do not wish a roommate___________. I understand that there is a single
supplement due of $300 for the Tour.
I wish to upgrade my/our accommodations to a suite wherever possible
throughout the tour.
I understand that I will incur extra cost in doing so. _______(Initial).
ADDITIONAL
INFORMATION
I am a smoker_______ non-smoker________.
I have special requirements regarding food choices:
____________________________.
I have health conditions that require me to wear a medical
alert___________________.
I understand that Arequipa-Cusco-Machu Picchu-Lake Titcaca -Cajamarca
tours are high-altitude, 7,500 - 13,000 feet, and that I should consult
my doctor before traveling if I have high blood pressure, respiratory
disease or other conditions that may make high-altitude travel
inadvisable. _____.
Emergency Number &
Name of person not on the tour ___________________________
PAYMENTS: By
credit card; special form required & must carry Card Holder's signature
Deposit - Per Person Full Payment Due
$600 in order to confirm 60 days before departure
CHANGES:
After reservations confirmed If new documents are required there will be
a cost of change fee
RATE INCLUDES:
Hotel accommodations with hotel taxes and service charges · Meals as
indicated · Transfers as indicated · Luggage handling at airports when
with the group · Surface and overland travel as indicated
RATE DOES NOT
INCLUDE:
Foreign airport departure taxes · Items of a personal nature · Tips to
drivers, guides, hotel bellboys, Lodge personnel · Meals unless
indicated · Tours unless indicated
I wish to pay by
credit card.
I hereby authorize Horseback Tours to charge my credit card:
VISA
CARD_______MASTERCARD______ (initial one).
This authorization
applies to reservations for the following persons:
(NAMES)________________________________________________________________.
Credit Card Number
_________ - _________ - _________ - _________
Expiry
Date______/_______
Name of cardholder
as it appears on card:____________________________________
Signature of
Cardholder:________________________________
Date
signed______________ |