Please fill out this form so we may
follow up on your requests...

First Name:

Last Name:

E-mail:

 

Country of Residence:

 

Telephone Number:

Address:

 

Destinations:

    

Belize

 

Guatemala

 

Mexico

Costa Rica

 

Panama

 

Honduras

El Salvador

 

Nicaragua

 

Date of Arrival:

day

month:

year

Departure:

day

month:

year

 

GROUP COMPOSITION

OCCUPANCY

Number of adults:

12 or older

Single rooms:

Number of children:

Double rooms:

   

Triple rooms:

 

Catalog Adventure
Please type in the name of the catalogue adventure you are interested (optional).

Customized Adventure

  

Individual Services

Air tickets

 

Tour

Lodging

 

Transportation

 

 

CUSTOMIZED ADVENTURE REQUEST

 

Activities of your interest:

Relaxing

 

Archaeology

 

Birding

 

Living Cultures

 

Maya Mysticism

 

Shopping

Caving

 

Volvano Climbing

 

Scuba Diving

 

Rafting

 

Fishing

 

 

Traditional Tourism & Sightseeing

 

Professional film, journalism & photography

 

Preferred type of accomodations:

 

 

INDIVIDUAL SERVICE REQUESTS

Please give us your instructions, and be as specific as possible:

 

Transportation:

Car Rental

 

Nº Days:

 

 

 

 

Transfers

 

needed transfers:

 

 

 
 

 

© 2002 Ecotourism and Adventure Specialists Inc.