Rocket Boekingsformulier | Peru & Bolivia

Bookingform V2

How nice that you are really going to book the trip! Check your trip and flight and fill in your travel details so that we can plan everything well.

1 Your trip

2 Flights

3 Personal data

4 Insurances

5 Finally

Your trip
A composite travel plan*

Flights
Choose your flight option*
- I would like to book the flight that Rickshaw has proposed
- I booked the flight myself (fill in the details below)
Proposed flight(s)
✈ Outbound flight(s)
From (departure)
Flight number
Via (transfer)
Flight number
To (arrival)
Date of arrival
Datumnotatie:DD dash MM dash JJJJ
Time of arrival

: UU

MM
✈ Return flight(s)
Date of departure
Datumnotatie:DD dash MM dash JJJJ
To (arrival)
Time of departure

: UU

MM
From (departure)
Flight number
Via (transfer)
Flight number
Additional flight information

Travelers
Lead booker
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Voor Nederlands, kies 'Dutch'
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
Country*
Street name*
House number*
Addition
Zipcode*
City*
E-mail*
Phone number
Mobile phone number*
Emergency contact name*
Emergency contact phone number*
Emergency contact relation*
2nd traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
3rd traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
4th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
5th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
6th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
7th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
8th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
9th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number
10th traveler
Gender*
- Male
- Female
First name*
Insertion(s)
Last name*
Birthdate*
Datumnotatie:DD dash MM dash JJJJ
Full first names and surname, exactly according to passport*
Nationality*
Passport number
Passport expiry date
Datumnotatie:DD dash MM dash JJJJ
E-mail
Phone number
Mobile phone number

Insurances
Cancellation insurance*
- Yes, I opt for a continuous cancellation insurance (annualy)
- Yes, I opt for a short-term cancellation insurance (this trip)
- No, I do not want a cancellation insurance
- No, I already have a cancellation insurance elsewhere
Namely*
Travel insurance*
- Yes, I opt for a continuous travel insurance (annualy)
- Yes, I opt for a short-term travel insurance (this trip)
- No, I do not want a travel insurance
- No, I already have a travel insurance elsewhere
Namely*

Finally
If you have any questions or comments concerning the booking, please let us know
Support local project?
- Yes, I would like to donate € 12,- to a local project of Rickshaw Travel's Soulventure Foundation
Wakibi microcredit
- Yes, I would like to lend € 25,- to Wakibi - microcredit for entrepeneurs in developing countries (see Rickshaw Travel & Wakibi)
Newsletter
- I would like to register for the Rickshaw Travel newsletter (published 8 times a year, privacybeleid)
Health aspects*
- Yes, I am aware of the health aspects of my trip
Travel conditions*
- Yes, I have read and agree to the Rickshaw Travel Terms and Conditions
Travel documents*
- Yes, all participants have valid travel documents and passports or ensure that this is arranged in a timely manner
Name
Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.

Bolivia & Chili

Bolivia & Chili

Riksja Peru Boekingsformulier

Bookingform V2

Your trip

Flights

Travelers

Lead booker

2nd traveler

3rd traveler

4th traveler

5th traveler

6th traveler

7th traveler

8th traveler

9th traveler

10th traveler

Insurances

Finally

Naam reisgenoot	E-mailadres reisgenoot