Beachlife Holidays - Your Gateway to Southeast Asia and Brazil

Personal and Billing Information

First Names:

(as it appears on passport)

Surname:
(as it appears on passport)

Email:

Phone:

Address:

City:

Province:

Postal Code:

Gender:

Age:

Date of Birth:

Passport Numbers &
Expiration Date

Passport must be valid for 6 months past your expected return date.

Please advise if traveling on a Canadian, UK, or American passport.

*If you don't your passport details you can send it at the time of your deposit.

Insurance:

I confirm that I will be purchasing Travel Insurance through BeachLife, or through an insurance company of my choice.
Yes No

Travel Information

Please select your trip details:
Trip Location:
Trip Departure Date:
Trip Duration:

Room Preference

I am joining the trip on my own so please put me in a room with someone of the same sex.

I don't mind sharing with a male or female

I am joining the trip on my own and I would like my own room for the duration of the trip. I agree to pay the supplemental fee.

I am joining the trip with a friend, please pair me up with

Other

Tour Size:

Tours must have a minimum of 7 passengers or you will be offered the option of a different tour or your money back.

Terms & Conditions:

I confirm that I have read and understand ALL of the Terms and Conditions on www.beachlifeholidays.com . For questions regarding our conditions, this form, or your trip, please contact us at info@beachlifeholidays.com or call +1-403-585-5880.

Please tell us where you heard about BeachLife:

A friend. Name:

Poster or flyer. Location:

Travel Agent. Name & Location:

Other. Details:

Additional comments:

Reservations

After completing this form a BeachLife representative will contact you within 5 business days to discuss payment options. A non refundable deposit of $200 per person per tour is required within 72 hours of the confirmation of your booking. Please review our deposit dates and amounts for your remaining payments. If you are booking 59-40 days prior to departure, full payment is required within 72 hours of confirmation of your booking. If you are booking within 40 days prior to departure, full payment is due immediately. When a departure date of a tour reaches 15-20 passengers – our maximum group sizes - we will try to open up a second tour operating on the same date if operationally practical. Once a deposit is received it will be understood that you have read and accepted our “Terms and Conditions” including matters outlined in the “Essential Thinking – Backpacking in Asia.”