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

[text 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

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 [email protected] 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.

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Test

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.)

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 FLIGHTAirline Flight number Arrival date Arrival time DEPARTING FLIGHTAirline Flight number Departure date Departure time

Airline Flight number

Arrival date Arrival time

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

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 [email protected] 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.

Cookie Notice

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

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

Airline

Flight number

Arrival date

Arrival time

Airline

Flight number

Departure date

Departure time

City

Date in

Date out

City

Date in

Date out