Ecuador, your premier adventure destination

Booking Form

Please read the Terms and Conditions attached regarding your program. Each member of the group must read, accept and sign the attached Terms and Conditions. I have read and accepted the conditions of the booking and agree to be bound thereby. It is My responsibility to ensure that I have a valid passport, any required Visas, health documents, and travel insurance.

I (Name)

Of (Address)

City / Town

State / Province

Zip/Postal Code

Country

Tel (Work)

(Home)

Fax (Work)
(Home)

E-mail

 

Authorized Signature
Date

 

Emergency Contact Name

Relationship

Tel

 

Program

Departing From
Departure Date

 

A deposit amount of US for people, has been sent by wire transfer to the account of Adventure Without Borders, or payment is enclosed in the form of an international money order. Attached is the list of the people in the group, along with their signed Terms and Conditions. Also included is the Rental/Dietary Form.

 

Rental Equipment

Sleeping Bag

Sleeping Mat

Crampons

Ice Axe

Trekking Poles

 

Dietary Needs

Vegetarian

Celiac

Food Allergies

Diabetic

No Dairy

 

We will do our best to accommodate any special needs. We provide hearty, healthy camp meals.