REGISTRATION FORM

Use This form to request your place on THE PERUVIAN MAGIC JOURNEY, at the time you reserve your space contact ROMULO CASTILLA at cell phone Peru 51-84-984888954 or 310-893-9280 for bank information, account number and details. To register, please print, fill out, sign and bring it with you.

PRIMARY CONTACT

Last Name :

First Name :

Email Address :

Address1 :

Address 2 :

Home Phone :

Bus. Phone :

Gender :

Fax # :

Date of Birth :

Occupation :

Nationality :

Passport Number :

Medical/Allergies :

Vegetarian?

Emergency Contact :

  
If traveling with another person, please include their information below.  

2nd TRIP MEMBER

First Name :

Last Name :

Gender :

e-mail :

Address 1 :

Address 2 :

Home Phone :

Bus. Phone :

Fax # :

Date of Birth :

Occupation :

Nationality :

Passport Number :

Medical/Allergies :

Vegetarian?

Emergency Contact:  

    

COST:

Inti Raymi June 2009 ( ) Please check the box

8 Day journey Jun 19/26

In 5 Star Hotel: ( ) Please check the box
DBL $ 2250.-
SGL $ 2750.-

In 3 Star Hotel: ( ) Please check the box
DBL $ 1950.-
SGL $ 2290.-

Mystical and Esoteric Journeys ( ) Please check the box
Feb/12, Mar/12, Apr/16, May 21, July 02,
August 29, Sep/24, October 22, November 26

DBL $ 1770.-
SGL $ 2120.-

Extension to Titicaca Lake - Puno ( ) Please check the box
4 days journey - June 25/28

DBL $ 650.-
SGL $ 750.-

(Price good for group size up to 10 people, price adjusments may apply for smaller groups)

OTHER JOURNEY/TOURS:...............................................................................

SINGLE $...................................USD ( )

DOUBLE per person $..................................USD ( )

TOTAL $........................................(# of persons..........)

IF PAID IN FULL PLEASE MARK HERE ( )

ACCOMODATIONS:

If you are traveling alone and wish to share accommodations, we will assign you a roommate if one is available. If you request single accommodations, or if we are unable to find you a roommate you are requested to pay single supplement. Single rooms are limited.()  I will share a room with:(_________________________________________)  Please assign a roommate if available. (__)  I prefer a single room and will pay the single fee.

AIRLINE DETAILS – We need this information for airport transfers, assistance at the airport and reconfirmation of flight for departures.

ARRIVAL IN LIMA-PERU, M__________D_________Y__________

Airline _________________________ Flight #____________ Arrival time ___________

During tour, in case of emergency contact:_____________________________

Medical Condition(s) and/or Medication(s) needed:_______________________

________________________________________________________________

REGISTRATION, PAYMENT AND CANCELLATION POLICY:

Reserve your place as soon as possible, send your reservation with a check for $ 250.- to secure your space, to Romulo Castilla - Peruvian Magic Journeys, "SPACE IS LIMITED". A 50% deposit of tour balance has to be paid 90 days prior the trip starts, with completed and signed registration form has to be sent to Romulo Castilla, and 45 days the trip starts has to be paid in full.
All money orders or cashiers checks should be made payable to Romulo Castilla. The final payment due must be respected; otherwise a fee will apply.
Deposit is nonrefundable so we recommend you obtain travel insurance to protect you against all the unpredictable events that might stop your from taking the trip.

TOUR PRICE INCLUDES: Hotel Accommodations, breakfast, lunch, and dinner as listed in itinerary/ies, all entrance fees to archaeological sites and museums, tour guides, all ground, air transportation once we arrive in Lima arrange by PERUVIAN MAGIC JOURNEYS.

NOT INCLUDED: Tips to porters, maids, bellmen, bus drivers,Tour leader, guides; airport taxes, and other things not described in the itinerary, airfare to/from Lima/Peru is not included and it is responsibility of the traveler make the reservation and obtain it.

CANCELLATION POLICY: 45 days prior 30% and less than 30 days will be charged 50 % of total fare, NO REFUND WILL BE GIVEN ONCE THE TOUR BEGINS.

WAIVER: I/we agree to take responsibility for all inconveniences and challenges that can happen while traveling in a third world country. I/we release Romulo Castilla and Peruvian Magic Journeys. From all responsibility and liability for unforeseen circumstances and /or changes in the schedule, weather, earthquakes, etc, acts of terrorism, and any other unforeseen events, mental/physical illnesses occurring during tour dates. I/we understand Romulo Castilla and Peruvian Magic Journeys. Reserve the right to ask a group member to leave the tour if their behavior is harmful, disruptive or dangerous to the group. I/we are aware of and agree to the REGISTRATION, PAYMENT AND CANCELLATION POLICIES and understand and agree to all above information.

 

SIGNED ______________________________________

PASSPORT # __________________________________

 

SIGNED ______________________________________

PASSPORT # __________________________________

Note: A passport is needed to enter Peru .

Romulo Castilla, H/O Phone in USA: 310-893-9280, Cell Phone in Peru: 011-51-84-984888954, H/O Phone in Peru: 011-51-84-245252, E-mail : romulo@peruvianmagic.com, romuloc@ca.rr.com, info@peruvianmagic.com

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