Reservation form 7 day Salkantay 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:
My dates are flexible Yes  No I can also leave 1 2 3 days before or 1 2 3days after this date
Include a personal porter? (US $ 86.-) A personal porter is generally sufficient for 2 people (max 18Kg).
Extra overnight in Machu Picchu? Yes  No
Select accommodation
(Prices: Double room including breakfast)
I want to return by Vista Dome train (add $ 25.00 per person)
Date of arrival (Cusco): Time of arrival:
Flightnumber Lima/Cusco:

I have no flight information		 Coming from:
(country of departure)
I/we will travel by bus coming from:
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
Female

Male
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: no preference Include a sleeping bag (US $ 22.00)
vegetarian Include Therm a Rest self inflatable mattress (US $ 16.00)
vegan

Passenger 2
Name as written in your passport
First name Middlename(s) Last name Passport number Nationality
Female

Male
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: no preference Include a sleeping bag (US $ 22.00)
vegetarian Include Therm a Rest self inflatable mattress (US $ 16.00)
vegan

Passenger 3
Name as written in your passport
First name Middlename(s) Last name Passport number Nationality
Female

Male
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: no preference Include a sleeping bag (US $ 22.00)
vegetarian Include Therm a Rest self inflatable mattress (US $ 16.00)
vegan

Passenger 4
Name as written in your passport
First name Middlename(s) Last name Passport number Nationality
Female

Male
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: no preference Include a sleeping bag (US $ 22.00)
vegetarian Include Therm a Rest self inflatable mattress (US $ 16.00)
vegan
Please send participants separate invoices/requests for payments. (Make sure to include email1 addresses of each participant)
I / We will make a deposit to your bank using:
(Details below)
Paypal Paypal accepts all major credit cards. Please wait for our request for payment and DO NOT send money without our request.
Western Union (payment via internet)
Rabobank (for Dutch and Belgian customers)
Comments/ requests:
I have read and understood the terms and conditions regarding the Inca Trail and accept these.

How to pay

Bank wire to our account in The Netherlands (for Dutch and Belgian customers)

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