Spanish Español | Office (51 1) 231 5390 | Cell Phones (51) 965744055 – 965743906 | one@oneearthperu.com

Booking Form

Please complete in full for all travelers.

Download PDF
For signature requirements and security for any bank transactions; please print, sign and e-mail the complete form to: sales@oneearthperu.com

NOTE: BEFORE BOOKING A TRIP, READ OUR TERMS & CONDITIONS.

Trip
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Departure Date
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If you have a local agent you would like to use to arrange your One Earth Peru trip or our special departures, please indicate the name and contact information in the boxes below:

Agent Information

Agent Name
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Address
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Email
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Phone
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City
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State
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Country
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Client Information

Full Name(*)
Please type your full name.

E-mail(*)
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Address
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City
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Province / State
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Zip Code
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Country
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Date of Birth
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Occupation
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Nationality
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Passport N°
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Emergency Contact
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Sex
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Arrival Information

Airline
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Flight Number
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Arrival Date(*)
Please select a date when we should contact you.

Arrival Time
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If you do not have your flight arrangements finalized, please be sure to contact us with this information once you do.

 
Additional Information

Have you traveled with One Earth Peru before?
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Which Trip?
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Where did you hear about One Earth Peru?
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Payment Information
 
If you chose not to pay by a credit card system, all payments according to our Terms & Conditions must be transferred to our Bank Account with the following details; once this transfer is received, you will get your Booking Confirmation and your Travel Vouchers by E-mail. Please send this Booking Form and the Bank’s transfer receipt by E-mail to: Mr. Jose Chirinos - One Earth Peru Operations Manager: chiri@oneearthperu.com or sales@oneearthperu.com
 
BANK NAME:
SWIFT CODE:
ACCOUNT NAME:
ACCOUNT NUMBER:
TYPE OF ACCOUNT:
BANCO DE CREDITO DEL PERU
BCPLPEPL
One Earth Peru SAC
193 - 1560919 - 1 - 66
VISA SAVINGS ACCOUNT US DOLLARS
 
 

As one of the names above & on behalf of all persons listed, I have printed, downloaded and read the Terms and Conditions and accept and understand that they form part of this contract. I undertake on my own behalf and on behalf of any other person for whom this is a joint booking to accept the terms and conditions of One Earth Peru SAC and the decision of the trip leaders they appoint. I also understand that I am booking on an adventure holiday and Standards such as; accommodation, transport, medical services and other factors will not be of the same standard that I/we are used to at home, or that might be found on a conventional holiday.

I, and/or my traveling party, understand that travel medical insurance covering personal accident, emergency evacuation and repatriation expenses is recommended on all One Earth Peru trips.

I have read and agree with the above statement.

I AGREE
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Date
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Questions / Comments
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Enter letters & numbers(*)
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Office (51 1) 231 5390 | Cell Phones (51) 965744055 – 965743906 | one@oneearthperu.com | We Accept Visa