Booking form: Spirit of Yagé Journeys to the Colombian Amazon

Please fill-in all relevant fields and forward this online booking form, to formally comply with our reservation procedure.



Programme

Programme *

Scheduled Start Date of your "Spirit of Yagé" journey to Colombia (Please use the format Day/Month/Year: dd/mm/yy):

Alternative Scheduled Start Date of your "Spirit of Yagé" Journey to Colombia (dd/mm/yy):

Length of staying (total number of days):


Travel Details

Include full SATENA Airlines (www.satena.com) flight details: departure date and time from Bogotá (Code: BOG) "El Dorado" airport, to Villagarzón (Code: VGZ, in Putumayo, Colombia) on arrival. And full SATENA Airlines (www.satena.com) flight details from Villagarzón (VGZ) to Bogotá (BOG), on your return trip. Kindly note that there are currently NO FLIGHTS leaving ON SATURDAYS, either way.

(Please ask if you require assistance with your SATENA bookings).

National flight details: arrival in Villagarzón

National flight details: departure from Villagarzón

Number of travellers:


Personal Details

Title:*

First Name: *

Middle Name:

Family Name/Last Name: *

Age: *

Address: *

City: *

ZIP/Postal Code: *

County/Province/State: *

Country: *

Daytime phone: *

Evening Phone:

Mobile Phone:

Fax:

Email *

Verify Email *

Alternative Email

Vegetarian: *

Date of Birth (dd/mm/yy): *

Place of Birth: *

Nationality: *

Passport Number: *

Country of Issue: *

Issue Date: *

Date of Expiry: *

Contact in case of emergency: *


Other

Interpreter Spanish-English required: *
YesNo

Please note: the interpreting service is always subject to availability.

Where did you hear about us? Check all the boxes applicable:

Word of mouth/referral by a friendAdvert on a magazineAdvert on the internetSearch engineArticle on a magazine/newspaperOther (Please specify)

Payment: *
I have already paid  

I have still to send the payment

Comments:

Mailing list/Newsletter: *
Mail Opt InMail Opt Out  


I have read, understood and accepted the terms and conditions of participation to the "Spirit of Yage' journey in Colombia, as published at the URL:

http://www.elmundomagico.org/agreement-spirit-of-yage

I voluntarily agree to fully abide to these conditions as written. I understand that this is a legally enforceable document and that the validation time of this contract between me and El Mundo Magico is five years and starts on the first day of forwarding this online booking form, or signing the Agreement, whichever is earlier.

Signature (re-enter your full name): *

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