Mindfulness in Medellin with Ana Tootle

BOOKING CONFIRMATION FORM

Thank you for booking with us. Please complete this form at your earliest convenience.
Select number of guests:

Guest 1 Collapse
GUEST 1
Name

PrefixFirst NameLast Name
Date of Birth

DayMonthYear
Nationality
Passport Number
Upload Passport*

Browse File

Cancelof
Upload International Flights

Browse Files

Cancelof
Email Address
Phone Number
Please let us know how many bags you will travel with
Travel Insurance Policy Number
Insurer
Insurer's Phone Number
Roommate Option: Would you like your roommate assigned at random?*

YesNo
Please provide name of traveler so we can link you together.
I would like to have my own room and agree to pay extra supplement of $630 USD.

Yes, I agree.

Guest 2 Collapse
GUEST 2
Name

PrefixFirst NameLast Name
Date of Birth

DayMonthYear
Nationality
Passport Number
Upload Passport*

Browse File

Cancelof
Upload International Flights

Browse Files

Cancelof
Email Address
Phone Number
Please let us know how many bags you will travel with
Travel Insurance Policy Number
Insurer
Insurer's Phone Number
Roommate Option: Would you like your roommate assigned at random?*

YesNo
Please provide name of traveler so we can link you together.
I would like to have my own room and agree to pay extra supplement of $630 USD.

Yes, I agree.

Guest 3 Collapse
GUEST 3
Name

PrefixFirst NameLast Name
Date of Birth

DayMonthYear
Nationality
Passport Number
Upload Passport*

Browse File

Cancelof
Upload international Flights

Browse Files

Cancelof
Email Address
Phone Number
Please let us know how many bags you will travel with
Travel Insurance Policy Number
Insurer
Insurer's Phone Number
Roommate Option: Would you like your roommate assigned at random?*

YesNo
Please provide name of traveler so we can link you together.
I would like to have my own room and agree to pay extra supplement of $630 USD.

Yes, I agree.

Collapse stopper
Medical conditions, allergies or dietary requirements (please specify traveller):
PREFERENCES
NOTE: Your comments & preferences will be shared with hotels and providers, and will be taken into consideration in case they apply to an experience within your itinerary. If you would like us to source any of these items in addition to an experience where it is already included, please note additional charges may apply.
Foods, beverages, wine & liquors likes:
Foods, beverages, wine & liquors dislikes:
Special requests:
Special occasion or celebration:
EMERGENCY CONTACT
Contact 1*

NameSurname
Phone Number*
Relationship
Contact 2

NameSurname
Phone Number
Relationship

ITINERARY DETAILS