Last Name/First Name :

Country of Residence :

E-mail address :

Phone/Fax Number :


Number of Participants : 1 2 3 4 5 6 7 8 9 10 >10

Category of Hotels :  Deluxe Upper Tourist Tourist Medium Range Small Budget

Requirements concerning Hotels :



Preferred Means of Transport :  Airplane Private Transport Regular Transport Other (please specify)

If other means of transport please specify :


Type of Service :  Together with other travelers Private excursions

Preferred Dates for the Trip :

          Arrival in Bolivia :  (dd.mm.yy)
Departure from Bolivia :  (dd.mm.yy)

Target cost per day per person (excluding flights):
Less than $80 per day per person Less than $100 per day per person Less than $150 per day per person Up to $150 per day per person Up to $200 per day per person Up to $300 per day per person


Preferred Iitinerary / Specific Interest ?
(Shift+Click for multiple selection)

Andes & Amazonia Genesis of the Andean Culture Rainforest Expedition Wildlife Viewing (birdwatching, etc.) Patrimonies of Mankind Contemporary Cultures (ethnology, rituals...) Ancient Cultures (archaeology, history) Cusco & Machupicchu 4WD Expedition Hiking / Trekking Business Trips

Areas of interest (to be visited in the first place) :

  La Paz :                                               Sucre-Potosí :
None La Paz City Lake Titikaka Tiwanaku Cusco-Machupicchu Yungas Hikes & Treks Royal Cordillera Kallawayas All of the above                           None Sucre City Tarabuco Potosí Cerro Rico Mines All of the above

Oruro/Uyuni :                                         Cochabamba :  
None Uyuni Salt Flats Red & Green Lagoons Atacama Desert Sajama National Park Chipaya Oruro Carnival All of the above                      None Cochabamba City Inkallajta Inkachaca The Valleys Carrasco National Park "El Puente" Jungle Lodge All of the above

Santa Cruz :                                               Amazonia :  
None Santa Cruz City Samaipata Jesuit Missions Amboró National Park Pantanal All of the above                     None Nature & Wildlife Expedition Amazon Riverboat Cruise Motorboat Expedition Rainforest Expedition Hiking / Trekking National Parks (Madidi...) Trinidad Rurrenabaque San Ignacio de Moxos All of the above

Specific interests/scientific research, etc. :


Meals: No meals (only breakfast) Half board All meals included

Diet restrictions :


Other remarks :