Toll Free USA & Canada: 1-800-704-6234

 UK & International Inquiries: 1-904-638-6280

SOUTHERN CROSSINGS BOOKING FORM

Please fill out one form for each person traveling. To shorten the process, if some information is the same for a subsequent passenger, just write “same as previous” in the appropriate boxes.

    First name (required)

    Last name (required)

    TRIP INFORMATION

    Tour name

    Trip start date

    Additional info we need to know (i.e. joining or departing earlier or later, extra days somewhere, extra activities you’re interested in, etc.)

    PASSPORT

    Note: If your passport number changes, it is important to notify us immediately. If you are hiking the Inca trail, you must have at least a copy of the passport with which we procured your Inca trail permit.

    Name as appears on passport

    Expiration date

    Passport number

    Issuing country

    CONTACT INFORMATION

    Mailing address

    City, State/County/Province, Postal Code

    Country

    Email

    PERSONAL INFORMATION

    Date of birth

    MaleFemale

    Emergency contact name and complete telephone number (required)

    If traveling alone or would like single accommodation, please check the box and ask to have this added to your invoice.

    Yes, I would like single accommodations.

    I am vegetarian

     
    Other food requirements?

    Medical conditions we should be aware of
    (i.e. allergies to bees or peanuts, sensitive to altitude, diabetic, etc.)

    Please note that while we like to know about any medical conditions our passengers may have, this knowledge makes us in no way responsible for any occurrences while on tour, and it is solely the passenger’s responsibility to carry the medication they may require and to avoid any situations that may put them in peril.

    FLIGHT INFORMATION

    If you know your international flight information, please fill it in below. If not, please provide us with that information as soon as your flight is confirmed.

    ARRIVAL FLIGHT

    Airline

    Flight number

    Arrival date

    Arrival time

    DEPARTING FLIGHT

    Airline

    Flight number

    Departure date

    Departure time

    ADDITIONAL ACCOMMODATION BEFORE OR AFTER YOUR TRIP (if necessary)

    City

    Date in

    Date out

    City

    Date in

    Date out

    SURVEY

    Where did you first hear about Southern Crossings? (Yahoo, Google, Magazine, a friend...)

    If you used a search term(s), may we ask which?

    TERMS AND CONDITIONS OF SOUTHERN CROSSINGS TOURS AND TRAVEL

    Acknowledgement and acceptance of the Terms and Conditions of Southern Crossings Tours and Travel must be indicated by checking the box below. Click here to read Terms and Conditions (then just close the window to return here).

    Yes, I have read and understand the Terms and Conditions of Southern Crossings Tours and Travel (required)

    I understand that travel medical insurance covering personal accident, emergency evacuation and repatriation expenses is not included on any Southern Crossings Tours and Travel tour and I will possess such insurance throughout the dates of the above listed trip and/or I am responsible for my own personal medical expenses.

    Yes, I am responsible and/or I will possess travel medical insurance or my insurance plan with cover me while abroad throughout my Southern Crossings trip (required)

    IMPORTANT

    We will need a photo or scanned copy of the photo page of your passport as soon as possible in order to make all of your bookings. You may email this to us at info@southerncrossings.com or attach it directly here:

    A trip deposit is due at time of booking. After receiving your booking form, we will contact you to confirm and send you pre-departure information along with an invoice and payment details.