GALAPAGOS ECUADOR PERU RESERVATIONS

Ecuador Galapagos Peru

ECUADOR GALAPAGOS PERU RESERVATIONS

First Name :

Last Name :

Date of Birth :

City / Country :

Phone / Fax :

E-mail* :

Reconfirm*

If you dont put your email we cannot contact you

Referred by :
Please Specify :

Number in Group:

Adults:	( + 12 years )
Children:	( 2 to 11 years )

Travel dates:

From : To:

QUITO - Accommodations / lodgings

	Hotel	Single	Double	Triple	Date(s)
Modern Hotels
Hostals / B&B
Other/comments

Galapagos Islands Cruise

Dates:			To
Class:	Deluxe	First	Tourist Superior	Tourist
Length:	7-night	4-night	3-night	No preference
Type(s):	Motor boat	Sailing boat	Catamaran	No preference
Cabin(s):	Single (involves a single supplement)		Double (shared)
Yachts of interest:
Other comments:

Tours & Activities

Quito Region	Destination(s)	# people	Tour type		Date(s) / Comments
	Destination(s)	# people	Private	Shared	Date(s) / Comments
	Old Colonial Quito
	Quito Cable Car
	Mitad del Mundo
	Bellavista Cloudforest
South of Quito	Pasochoa Reserve
	Cotopaxi National Park
	Saquisili market
	Quilotoa Lagoon
Other	Comments
NEW PERU NEW	Lima
	Cuzco / Machu Picchu
	Other

International
Arrival City:

Other Comments

Sangay Touring © All Rights Reserved.
Luis Cordero E4-358 y Cordero
Quito, Ecuador - South America.
1-800-408-5513 (USA/CANADA)

Site design: Robin Slater