PERSONAL DETAILS
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First name:
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Country:
 
CONTACT
Email:
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I prefer to communicate in English, German or Spanish:
   
TOUR
Tour:
Preferred schedule:
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Comments:
   

CREDIT CARD DETAILS

Please fulfill as following your credit card details. We will not charge it, this is only a guarantee to confirm your reservation. You will pay at your arrival in Pucón in ELEMENTOS office, or through a bank transfer.
Credit card type:
Credit card digits:
Expiration date:
CVC Code:
Name of the owner:
Billing Adress:
City/ Town:
State/ Province/ Region:
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Country:
   
By sending this form, you confirm that you accept ourterms and conditions of sale