Galapagos Expedition ATTENDEES Only: March 07-17, 2025

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We are using this form to gather the information needed for a successful trip/event. Some of this info is needed for tickets, flights and hotels.

Email *

What is your first name per passport?

What is your middle name per passport?

What is your last name per passport?

What is your cell phone number?

What is your home address? *

What is your Date Of Birth

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Do you have an international passport and what is the expiration date? (Your passport needs to be valid for at least 6 months after return from the trip) *

Do you want Single or Double Occupancy? If you are on your own we do provide roommate matching so you can get the double occupancy discount. This is the benefit of Meetup group travel !

Double Occupancy $4365.00 Per Person Shared Room. Looking for a roommate.

Double Occupancy $4365.00 Per Person Shared Room. I have a roommate.

I am on my own and looking forward to a fabulous adventure in a solo room for $5355.00

Other:

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Flights!!! Flights are not included in the base tour cost. However, we have negotiated a great group fare from LA. $1385 all taxes and luggage included. If you are not flying from LA, contact Anna who is a licensed and bonded Travel Agent, specializing in International Flights. She will find you the best airfare.

I am interested in the group airfare and will pay the nonrefundable deposit of $200: https://www.paypal.com/instantcommerce/checkout/W5DSZYQWFTBEQ

I will contact Anna at (310) 383-9538 to discuss the options from my city

I don't know yet. I will contact Anna when ready to plan

I think I will be using miles or credits.

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We strongly recommend travel insurance. The price starts at $190, depending on age and it covers: Trip Cancellation, Trip Interruption, Trip Exchange, Trip Interruption: Return Transportation-Only, Trip Delay, Missed Connection, Baggage Loss or Delay, Dental, Emergency Evacuation and much more...

Please email me a quote

I have my own insurance

Not interested in travel insurance

I will decide later and contact Anna for a quote

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Emergency Contact Info. Please list name, relationship, cell phone number and email. You may list several people if you wish.

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