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Name / Company:
Street:
City:
State:
Country:
Phone:
Fax:
Email:
Traveldate:
I am interested in a:
Hotel based Galapagos combined Tour
Galapagos Cruise
Galapagos Dive Cruise
Galapagos Dive Daytours
Water Sports (Kayaking and River Rafting
Sports activities (hiking, trekking, climbing, horseback riding and biking)
Special interests, like the Train ride to Nariz del Diabolo
Nature Tours with Bird and Whale watching
Health Tourism with Spa, medical plants explications and Shamanism
For Galapagos tours only:
Price range:
Tourguide: English German Spanish
In order to make a reservation we need the following information of all passangers!
Name: Nationality: Passport #: Date of birth:
1.
2.
3.
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5.
6.
Aditional notes:
We are the Championstours
Ecotourism, Travel Agency & Tour Operator

Av. Charles Darwin, Puerto Ayora, Isla Santa Cruz, Galapagos, Ecuador
Telefax: +593-5-526951

You can also contact us by e-mail
info@wearethechampionstours.com
or
championstours@hotmail.com

Thank you very much for your message.