Heart of South America registration

PLEASE COMPLETE THIS FORM TO REGISTER FOR THE Pantanal - Bolivia - Paraguay - Iguazu tour

Surname/family name as per passport: *

Names as per passport: *

Gender as per passport: *MaleFemale

Nationality per passport you will be travelling with: *

Date of birth as per passport: *

High-IQ Society and country you belong to: *

Membership number: *

Phone number (preferably that you use for WhatsApp/Telegram): *

Email Address: *

I wish to register for? *Pantanal (to be confirmed)BoliviaParaguay + IguazuWould like to join an informal group to Rio Carnival on 5th.(Assuming not joining the Carnival), would you be interested in another night at Iguazu (Brazil or Argentina). You can always change mind later.

For sharing options, you can propose own roommates, or if you have none, organisers will try to pair you up, and get your approval before confirming. *Own bed in own roomOwn bed, but share room with someone else of same genderOwn bed, but share room with someone else, gender does not matterI am sharing room and bed with someone else (e.g. as a +1 partner)

Name of person sharing with, if known (only one of you should book a hotel room):If you would like to share, and don't have someone to share with, the orga team can try to suggest parings.

Where more luxury options are available, would you like those? We will revert on price.I am happy to go with the group accommodation.I would like to explore more luxurious options where available.In cities (e.g. Santa Cruz, Sucre, La Paz, Asuncion and Iguazu), upgraded accommodation can be arranged on request.

DIETARY PREFERENCE *NoneGluten freeVegetarianOther

If you have selected 'Other' as your dietary preference, please specify your preferred dietary requirements or restrictions below.

NOTE!

Name, Phone number and E-mail are of the emergency contact.

Name and surname: *

Your own bloodgroup (if known)

Phone Number (WhatsApp or Telegram number preferred): *

E-mail: *

This is for the orga team to associate +1s and +2s (who are required to register for themselves) coming with main member.

I wish to bring guests (in addition to myself):

Payments *I have a Visa/Master cardI prefer alternative payment methods such bank transfers (which may carry international charges).

A non-refundable deposit of $500 will be invoiced at time of registration.

Balance payments will be invoiced early December, partly refundable to the extent that hotels accept cancellations.

In the event of force majeure leading to cancellation by the tour operator, all monies paid will be refunded (net of bank charges).

On top of these deposits, you are responsible to pay directly all your food consumption (which is not included per the program), drinks, etc. Where some consumption may be paid for the group for the sake of convenience (e.g. 15 people on a restaurant bill), these will be billed after conclusion of the trip.

All billing will take place in US Dollar (USD).

If you prefer to pay by a different way than using cards, such as for example bank transfers, please indicate this and we will suggest alternatives.

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