SAM Travel Peru Booking Form 2019

Please fill in your phone number in case we need to call you. If you don’t have a phone number for us to call, please write None. (required)

Please fill in names and phone numbers for two emergency contacts who will not be with you on the tour or trek. (required)

What is the email address of the person for the main Point Of Contact (POC) in your group? (required)

Which Tour(s) are you booking? (required)

Tour web Link (required)

Group Tour or Private Tour (required)
*******A private tour means that there will be no other parties in your group, only your party, and your guide and trekking team. There are additional costs for private tours.
GroupPrivate

On what date are you looking to start your tour/trek? (required)

Please give at least two alternative start dates for your trek or tour in order of preference.
*****If you have no other dates possible please write NONE in the box (Format MM/DD/YY)

For how many persons are you currently booking?

Personal information for the purchase of permits, entrance tickets and reservations as required by the government.
******Clients name: Name exactly as written on passport, Passport Number, Date of Birth, Nationality and Gender

Is anyone in your group 17 or under?
***If you answer yes, we need a copy of their passport right away or we cannot get the student discount. Please email to info@samtravelperu.com
Yes, I have emailed a copy of their passport(s).Yes, I will email a copy of their passport(s) shortlyNo

Please add any additional information and medical information you think Sam Travel needs to know for your booking.

What is the name of your hotel in Cusco?

How did you hear about SAM Travel Peru?

By checking the box, you have read the "terms & conditions" of SAM Travel Peru and you are in agreement with SAM Travel Peru's Terms & Conditions.