QUITO:
Calle Montúfar N4-62 Y Espejo
Casilla postal 17-01-379 Quito, Ecuador
Phone 593.2. 2571995 / 2570430
International Toll Free Fax in USA 877.381.0965
info@colonialecuador.com
Attn: Mathieu C. Guillory
TOUR INFORMATION
1) Traveller Information:
Name as it appears on Passport:
Address of Residence:
Age
:
Contact Email:
Contact Phone:
2) Dates
Date expected to arrive to Ecuador:
Date expected to depart Ecuador:
Number of persons travelling with you:
How many rooms do you need:
3) What is your general purpose for visiting Ecuador?
Tourism
(
if “yes” please answer question
4):
Purchase Real Estate/Investment
(if “yes” please answer question
5):
Other:
4) If visiting for tourism what locations or areas of the country would you like to see?:
Pacific Coast
Sierra
Amazon Jungle
Galapagos
Cloud Forest
5) If real estate/investments what locations or areas of the country would you like to see?
Pacific Coast
Sierra
Amazon Jungle
Galapagos
Cloud Forest
6) What types of activities are you interested in pursuing while in Ecuador?
7) When travelling in country please check your preferred mode of travel?
Rental car:
Chauffeur with private car:
Donkey:
Public bus:
Private bus for group:
Boat:
Yacht:
Airplane:
8) Budget for total expenses per day per person for total tour?
$75 - $100
$150 - $175
$100 - $125
$175 - $200
$125 - $150
$200 or more
9) ATMOSPHERE AND STYLE FOR HOTEL
Spanish Colonial:
Indigenous:
Modern:
Rustic:
10) Type of hotel
Resort:
Tourist:
Ecological Lodge:
Economical:
Five/Four Star/Casino:
Furnished Apartment:
11) Restaurant preferences or food allergies:
12) Method of payment desired:
Cash:
Wired bank transfer:
(Travellers Checks can be cashed locally)
13) Other comments:
EMAIL US:
info@colonialecuador.com
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