booking

Thank you for trusting and joining Nasqa Expeditions.

Read carefully the list of general conditions and the specific requirements
to the expedition that you are hiring, and then complete the form.

Booking Form

(*) Required Field
     
Personal Information:    
Last name:* First name:*
Sex: Age:
Passport number: Nacionality:*
Address: City:
State or Province: Zip Code:
Country:    
Phone: E-mail:*
Occupation:
 
Medical insurance:
Name of the insurance company:
Policy Number:
 
In case of emergency:
Contact: Phone:
 
Ordering Information:
Scheduled: Trip name:
Starting Date:
 
Flight information:
Arrival date: Flight number:
Departure date: Flight number:
 
Additional information:
Yes
No
Are you vegetarian or do you have any food restriction?
Do you wish a single room?
Do you need to rent gear?
Do need a personal porter?
 
Experience:
Please write a short resume of your climbing experience:
 
I have read and I accept the general conditions.