Amazon Kingfisher Lodge
Please complete one form for each person.
This is to be printed out and sent via postal service.
Applicants name ____________________________________________
Mailing Address _____________________________________________
City, State, Zip Code _________________________________________
Home Telephone (___)______________ Email _____________________
Cell Phone (____) ___________________________________________
Date of Birth ________________________________________________
Passport Number ____________________________________________
Passport expiration date _________________ Citizenship _____________
In case of emergency, please notify _______________________________
City, State, and Zip Code ______________________________________
Telephone (___) _____________________________________________
Cancellation: Cancellations must be in writing. Penalties
with Amazon Kingfisher Lodge, Peruvian Amazon Rainforest Expeditions are
as follows prior to departure dates:
1. 61 days or more: full refund of the land arrangements less $50 per
person administrative fee
2. 60 - 31 days: a charge of $100 per person for land portions.
3. 30 - 15 days: a charge of 50% of the total land arrangements
4. 14 days or less: no refund
Insurance: All passengers should have sufficient
insurance coverage for accident, health, and baggage as well as medical
and surgical coverage and cancellation insurance. These must be purchased
Travel Documents: To enter Peru, American citizens
need only a U.S. passport which will be valid for at least 6 months after
the date of travel. Citizens of other countries should consult the Peruvian
Embassy on visa requirements.
Please read and sign Page 2