Reservation form 2 day Inca Trail

If you fill and send our form you agree to our terms and conditions regarding the Inca trail.

Departure date for the Inca trail:
Include a personal porter? ( US $ 70.-) A personal porter is generally sufficient for 2 people (max 15Kg).
Date of arrival (Cusco): Time of arrival:
Flightnumber Lima/Cusco: Coming from:
(country of departure)
Number of participants:

More than one person? Please fill out the form below for each of you.

(we need this information in order to request your trekking permits)

Passenger 1
Name as written in your passport 
First name Middlename(s) Last name Passport number Nationality
Date of birth Age Telephone Email
Student with valid ISIC card?   Yes  No Send a copy of ISIC card (front and back) together with your reservation
Food-preference: vegetarian
vegan
no preference
Concerning food, do you have any allergies?

Passenger 2
Name as written in your passport
First name Middlename(s) Last name Passport number Nationality
Date of birth Age Student with valid ISIC card? Email
  Yes  No (If yes, send a copy of ISIC card (front and back) together with your reservation)
Food-preference: vegetarian
vegan
no preference
Concerning food, do you have any allergies?

Passenger 3
Name as written in your passport
First name Middlename(s) Last name Passport number Nationality
Date of birth Age Student with valid ISIC card? Email
  Yes  No (If yes, send a copy of ISIC card (front and back) together with your reservation)
Food-preference: vegetarian
vegan
no preference
Concerning food, do you have any allergies?

Passenger 4
Name as written in your passport
First name Middlename(s) Last name Passport number Nationality
Date of birth Age Student with valid ISIC card? Email
  Yes  No (If yes, send a copy of ISIC card (front and back) together with your reservation)
Food-preference: vegetarian
vegan
no preference
Concerning food, do you have any allergies?
I / We will make a deposit to your bank using:
(Details below)
Paypal (Cheapest and fastest, use if you book less then 30 days in advance. If you have a creditcard you can use Paypal)
Please wait for our request for payment before sending money.
DO NOT send money without our request.
Western Union (payment via internet)
Rabobank (Netherlands)
Comments/ requests:
I have read and understood the terms and conditions regarding the Inca Trail and accept these.
Only if you book within 30 days of departure of the trek:
I understand that due to Government regulations a late booking fee USD 20.- per person can be charged and accept to pay this fee if this is neccesary.

How to pay

Bank wire to our account in Peru by

www.westernunion.com

Bank wire to our account in The Netherlands

RABO bank (our bank account in The Netherlands):
Accountnumber: 39 45 96 986 P.A. Roos inz. Eco Tourism Chaska
IBAN (International Bank Account number): NL83 RABO 0394 5969 86
BIC  RABONL2U

The address of the bank:
RABO bank Noordwest Friesland
Oosterburen 70
8891GD Terschelling Midsland
Telephone +31 (030) 287 87 87

The address for P.A. Roos Inz. ECO Tourism Chaska:
Oosterburen 14
8891 GC Terschelling Midsland
The Netherlands