Reservations Chasing Atlas Reservation Form We understand your time is valuable. That's why this form takes only 3 minutes to fill out. Step 1 of 4 25% Trip Name Trip Start Date Month Day Year Trip End Date Month Day Year Your Name First Last Email* Birth Date* Month Day Year AddressStreet Address City, State, Country Zip Code PhoneAlt Phone Trip InformationDo you have a roommate? Yes No. Please find me a roommate. No. I prefer my own room and will pay the single room supplement. What is your roommate's name? Is your passport current to the end of this year?* Not, sure. I will check it! Yes, it is current. No, I need to renew it. Do you have any severe allergies or dietary restrictions?While we cannot control what happens in the kitchen, we will do our best to make your acquaintance with local food the best possible experience. Please remember to tell each server of your restrictions at each meal. Why did you choose Chasing Atlas?Newsletter Sign me up Emergency ContactName* First Last Phone*Please read and agree.* To reserve your place, we require a deposit. We honor a 24-hour recession on the deposit only. FInal payment is due 45 days in advance of your trip. All guests responsible for their own travel insurance. * Travel InsuranceAccept or Decline*For more info on travel insurance, click here or call us at +1.435.225.2563 accept decline Terms and ConditionsI have read and agree to:*Download Terms and Conditions Here I agree Will you be paying your deposit today?*Choose OneYesNoPayment InformationDeposit* Price: $1,000.00 Quantity: Total $0.00 NameThis field is for validation purposes and should be left unchanged.
