Trek Booking Form

To reserve your place on a Wilderness Trekking holiday, please complete the booking form below, click 'submit' and make your US$500 deposit through Paypal. Thank you.

Your balance of payment can be made by credit card through Paypal if requested, or by personal check to, Wilderness Trekking, P.O. Box 791, Q. Cove, Quadra Island BC, Canada V0P 1N0.

We strongly advise waiting until the trek has reached minimum numbers and is a confirmed departure before purchasing your international air tickets. Thank you.

Trek Booking form

TREK SELECTION



Trek (*)

Please select a trek
Trek Dates (*)

Please select a trek date

Personal details as they appear on your passport:



First Name (*)

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Last Name (*)

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Telephone (*)

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Mobile

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Email (*)

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ADDRESS



Street 1

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Street 2

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City

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Province/State

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Postal/Zip Code

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Country

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Nationality

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Emergency / Alternative contact



Name (*)

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Telephone (*)

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Relationship to you

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Email

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Experience



Please summarise your relevant previous experience:

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View the Booking Conditions and Cancellation Policy

Conditions Agreement (*)

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(*) Required Field