The Heart of Peru Guest Info - Transformational Tours and Retreats

TRANSFORMATIONAL TOURS & RETREATS PASSENGER INFORMATION

EVERY participant must FILL OUT AND SIGN this page AND use a separate individual email address PER GUEST.

We can happily contact your partner through shared email if you prefer - please note this in the SPECIAL REQUESTS at the bottom.

Section 1: Legal Name & BILLING Address. Please make sure this is your legal name exactly as it appears on your passport. We will not be responsible for errors.

First Name:*

Middle Name:

Last Name:*

Address:*

City:

State:

Zip Code:

Country:

Email:*

Telephone:

Section 2: Passenger Details

Date of Birth: Day:

Month:

Year:

Passport #:

Expiration Date:

Country of Issue:

Emergency contact name:

Emergency Contact Email:

Emergency Tel:

This person CANNOT be traveling with you.

Section 3: Tour Details.

Accommodation:

Single (Private Room)

Double (two beds- need roommate)

Double (2 beds/with specific roommate - (please note name of roommate in special requests)

Double(One Bed-Couple)

Gender (for double occupants requesting roommate matching)

Female

Male

Non-Binary

Special Requests

Travel Insurance:

I intend to purchase travel insurance

I do not intend to purchase travel insurance

You are now being directed to make your payment securely. We accept all credit cards. At the top, please enter either your deposit amount of $997, or your payment in full, whichever you prefer. PLEASE do not use commas when typing the dollar amount.

Please note that $997 is your nonrefundable deposit. All payments above that amount are fully refundable before May 1, 2023.

Should you prefer to wire transfer or pay by Zelle, please call us toll-free at 888-600-7541.