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Southern
Crossings
Tours and
Travel

North America:
1-800-704-6234

UK free phone:
0-800-883-0584

info@
southerncrossings.com

 

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American Society
of Travel Agents


Peru

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Inca Trail

Rio Carnival!

 

Southern Crossings
E-Booking Form


Please fill in once for each passenger traveling.  To shorten the process, if some information is the same for a subsequent passenger, just write "same as previous" in the appropriate boxes.

A trip deposit of $500 per person is due at time of booking, and the balance is due sixty days before departure or at time of booking if within sixty days.  After booking, we will contact you to confirm and send you pre-departure information.

Thank you for traveling with Southern Crossings.  See you soon!

 

May we ask where you first heard about Southern Crossings?

 

 

Please choose your trip:        
                     

 


 

Trip start date (mm/dd/yy):

Name as appears in passport:

Passport number:

Issuing country:

Gender:

Male  Female

Mailing address:

Country:

Daytime phone:

Evening phone:

E-Mail:

Date of Birth:

Day: Year:

Emergency contact name and complete telephone #.:

 

If traveling alone, or would like single accommodation, please check the box and add to your payment the single supplement amount found in the "Trip itinerary and details" section of each trip.  

  Yes, I would like single accommodations 


 

Vegetarian?

Yes No

 


Will you be needing additional accommodation before or after your trip?
City:
Date in: Date out:
Single
Shared


City:
Date in: Date out:
Single
Shared


 

If you know your international flight information, please fill it in below.  If not, please provide us with that information as soon as it is confirmed. 
 

 

Arriving Flight:

Airline:             
Flight no.:          

Arrival date:    

Arrival time:     

Departing flight:

Airline:               
Flight no.:            

Departure date: 

Departure time:  


 

Additional info we need to know (i.e. joining or departing earlier or later, extra days somewhere, extra activities we're arranging, etc.):
 

 

Medical conditions we should be aware of (i.e. allergic to bees or peanuts, sensitive to altitude, diabetic, etc.)

 

Please note that while we like to know about any medical conditions our passengers may have, this knowledge makes us in no way responsible for any occurrences while on tour, and it is solely the passenger's responsibility to carry the medication they may require and to avoid any situations that may put them in peril.

 


Acknowledgement and acceptance of the Terms and Conditions of Southern Crossings Tours and Travel must be indicated by checking the box below and by signing a copy of the Terms and Conditions on Arrival Day of your tour.

Click here to read Terms and Conditions (then just close the window to return here)

I have read and understand the Terms and Conditions of Southern Crossings
Tours and Travel:
Yes
          No

I understand that travel medical insurance covering personal accident, emergency evacuation and repatriation expenses is mandatory on all Southern Crossings adventure tours and I will possess such insurance throughout the dates of the above listed trip. 

Please check: Yes, I will possess travel medical insurance throughout my Southern Crossings trip

 


Thank you!  You will be contacted by email or telephone shortly to confirm your booking.

 

 

 

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