INSTRUCTIONS FO FILL-OUT THE RESERVATION FORM

 How to send the booking form

There are three ways you can send the Booking Form to Andean Summits:

  1. Via Internet. You have to fill the form on-line and send it to Andean Summits by pressing the button SUBMIT FORM. Please note that this information is send to us via Secure Transaction*.

    (*) Secure Transaction is a process that Andean Summits have contracted to ensure that your confidential information (i.e. credit card number) will be send to us without the risk that anybody intercepts and de-codes it.

  2. Via Fax. First download* the PDF** versions of the Booking Form and the Terms & Conditions (if for any reason, you can not accomplish this process, ask a PDF version by email), then print the PDF version using the program Acrobat Reader***.

    Once you get the hard copy, proceed to fill it out, sign it, and send it to Andean Summits fax number (591-2) 241-3273.

    (*) Download means to copy a file from the computer that host a Web site into your personal computer.
    (**) PDF (Portable Document Format) is the name of a format in which the Booking Form is copied into your computer.
    (***) Abobe Acrobat Reader is a free share program required to open and print PDF’s files (if you do not have that program, you can download it from the next Web site http://www.adobe.com/products/acrobat/readermain.html).

  3. Via Email. In the case that you can not send the form via Internet or fax, you can still confirm the trip composing a Email with the required information in the Booking Form and sending it via Email.

    ¡!! WE STRONGLY SUGGEST YOU TO SPLIT YOUR CREDIT CARD DATA INTO TWO OR MORE EMAILS ¡!!.
 How to fill-out the booking form

Fields marked with * are mandatory

Personal data

Full name* Type you full name in the following order: Last name, first name and middle name.
Sex F(emale) or (M)ale.
Passport number Including letters if apply.
Date of birth Date of birth of the owner of the card. Use the format dd/mm/yyyy.
Country Your passport's country.
Mailing address Use slash (/) to separate first and second line if needed
Email address Use lower case only please.
Phone Include area code (you can use parenthesis, spaces and slash to separate groups of numbers)
Fax Include area code (you can use parenthesis, spaces and slash to separate groups of numbers)
Occupation Your profession and actual occupation.
Are you vegetarian? Please answer Yes if you do not eat meat at all.
Dietary restrictions Anything apart of meat that you do not (or can not) eat for any reason.
Brief explanation of your previous experience Please describe briefly if you already have had experience in the main activity or activities of the trip; for how long time, and at what level (beginner, moderate or advanced). If you want to share more detailed information about this subject, please email us that information separately.
Insurance company & Policy information Name of the insurance company or companies with which you have purchased a insurance coverage, and additional information about the coverage policies might be useful (i.e. Contract number).

Medical form

Please fill this information considering that we do not need your full Medical background just enough information for the guide to react in the case that medical problems arise.

Are you physically active? Please answer Yes if you do some physical activity regularly (i.e. jogging, hiking, gym exercises, etc).
Allergies: In you are allergic to any food, drugs, insect bites, pollen, dust, etc.
Medical conditions Would be useful to know if you have ever had serious problems with your heart or with the altitude.
Medication that you will be taken during the trip: We need to know if you will be taken some medication that could affect your performance during the trip, specially at high places (i.e. Diamox).

Emergency Contact

In the case of an emergency, we must have a person (preferably a relative) to contact to.

Full name Type you full name in the following order: Last name, first name and middle name.
Relationship i.e. Wife, son, daughter, or other.
Mailing address Use slash (/) to separate first and second line if needed
Email address Use lower case only please.
Phone Include area code (you can use parenthesis, spaces and slash to separate groups of numbers)
Fax Include area code (you can use parenthesis, spaces and slash to separate groups of numbers)

Services booked

In the case that you want to hold a space on any of our scheduled or a tailor made trip, please use the trip's Code in this field.
If you want to reserve any other services; please describe them briefly since we should already have this information in your file.

Advance payment form

Advance payment amount. Usually we ask $us 300 as an advance payment to confirm any trip, you can put any amount in this field though.

Bank transaction

Choose this option to make a money wire through the banking system (in this case, you do not need to fill the credit card data). Contact your local bank and provide them the information contained in the Bank Transfer Information.

Please consider that your Bank (and maybe other Banks in the system) will charge you a commission for the money to be transferred to our bank account. Your bank must specify that all money transfer expenses will be paid in origin "OUR" and that wont be "SHARED" (more information about money issues on "Prices; Additional information").

To allow us to make a pursuit, we would appreciate if you can send a copy of the money transfer to the fax number (591-2) 241-3273.

!! IT IS EXTREMELY IMPORTANT TO INCLUDE ALL DATA TO YOUR BANK: THE INTERMEDIATE BANK, THE BENEFICIARY BANK AND THE FINAL BENEFICIARY IN ORDER TO THE TRANSFER TO ARRIVE WITHOUT ANY PROBLEMS !!

Credit Card

Choose this option to make payment through your Credit Card.

To reduce the inherent risk of using your credit card in local or international transactions, we have implemented a “Secure Transaction” system.

After you send your Credit Card data, we have to ask an “authorization code” to the local Credit Card administrator, which in turn will ask your Bank to authorize the transaction. Even though this formality normally goes without any trouble, sometimes local banks refuse transactions when the requirement comes from remote countries, or when large amounts of money are involved. Therefore please warn your Bank about this advance payment you are planning to do (more information about money issues on "Prices; Additional information").

Credit Card Data

To charge your credit card in your absence, we need you to send us the following information:

Credit card Type We accept all major credit cards: VISA, MASTERCARD and AMERICAN EXPRESS.
Credit Card Number You must fill 4 set of numbers with 4 digits each.
Expiration date Use the format mm/yy.
Bank's name Full name of your Bank.
Security code You must fill the field with 3 numbers that you can find on the back of your card to the right of your signature.
Name on Card As it appears in your Credit Card.
Passport number Passport number of the credit card owner.

Waiver and Release of Liability

Fill in your full name in the two fields* of the Waiver in the following format: Last name, first name and middle name.

!! PLEASE CONSIDER THAT BY TYPING YOUR NAME IN THESE TWO FIELDS, YOU ARE RELEASING ANDEAN SUMMITS FOR ALL OR ANY LIABILITY FOR ANY LOSSES, DAMAGES OR INJURIES. YOU ARE ALSO RENOUNCING TO YOUR RIGHT TO SUE OR DEMAND ANDEAN SUMMITS ON ACCOUNT OF ANY INJURY TO MY PERSON OR PROPERTY. !!