Booking :: CNH Tours :: Galapagos Cruises

Welcome to our on-line booking page! Once you have confirmed your space(s) for your preferred tour with us, please take a moment to have each member of your group fill in the following registration form. Thank you.

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PERSONAL INFORMATION
Last Name:
First Name:	(names as they appear in your passport)
Date Of Birth:	(DD/MM/YYYY)
Mailing Address:
email:
Telephone:
Dietary Restrictions:
Medical Conditions:

EMERGENCY CONTACT INFORMATION
Name:
email:
Telephone:

CRUISE INFOMATION
Ship Name:
Cruise Date:
Comments:
I learned about CNH Tours from:

PAYMENT
I will be paying by:

TERMS AND CONDITIONS
	I have read and accept the Terms and Conditions.*

TRAVEL INSURANCE DECLARATION
CNH Tours strongly recommends that you purchase emergency medical evacuation insurance and emergency medical expense coverage, and trip cancellation insurance in accordance with your needs. I have considered your suggestions on travel insurance and:
	I will purchase my own travel insurance.
	I have declined to purchase travel insurance.
Please note: Your reservation may only be confirmed upon receipt of deposit, and on a first-come, first-served basis.

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