Bamboo Loft Quadruple Registration - Vilu Travel Designers

Number of people*
- 4
Type of room*
- Bamboo Loft Quadruple ? The price per person is $6,950
This field is hidden when viewing the form
Quantity*
Subtotal

Participant ? 1
Participant Name ? 1*
Names) Last
Participant's Date of Birth ? 1*
DD slash MM slash YYYYY
Participant's Email ? 1*
Participant's Cell Phone ? 1*
Do you want to take out Allianz México insurance at a cost of $349 MXN?*
- Yes
- No
Travel Insurance
Price:
To know the terms and conditions of the insurance, read them on the vilutravel.com/azomalli-by-vilu page
This field is hidden when viewing the form
Quantity
Passport or INE*
Max. file size: 10 GB.
Participant ? 2
Participant Name ? 2*
Names) Last
Participant's Date of Birth ? 2*
DD slash MM slash YYYYY
Participant's Email ? 2*
Do you want to take out Allianz México insurance at a cost of $349 MXN?*
- Yes
- No
Travel Insurance
Price:
To know the terms and conditions of the insurance, read them on the vilutravel.com/azomalli-by-vilu page
This field is hidden when viewing the form
Quantity
Passport or INE*
Max. file size: 10 GB.
Participant ? 3
Participant Name ? 3*
Names) Last
Participant's Date of Birth ? 3*
DD slash MM slash YYYYY
Participant's Email ? 3*
Do you want to take out Allianz México insurance at a cost of $349 MXN?*
- Yes
- No
Travel Insurance
Price:
To know the terms and conditions of the insurance, read them on the vilutravel.com/azomalli-by-vilu page
This field is hidden when viewing the form
Quantity
Passport or INE*
Max. file size: 10 GB.
Participant ? 4
Participant Name ? 4*
Names) Last
Participant's Date of Birth ? 4*
DD slash MM slash YYYYY
Participant's Email ? 4*
Do you want to take out Allianz México insurance at a cost of $349 MXN?*
- Yes
- No
Travel Insurance
Price:
To know the terms and conditions of the insurance, read them on the vilutravel.com/azomalli-by-vilu page
This field is hidden when viewing the form
Quantity
Passport or INE*
Max. file size: 10 GB.

Subtotal
It includes the cost of the trip per person as well as the travel insurance contracted.
Total to pay
$0.00
Credit card*
Feed Required: To use the Stripe field, please create a Stripe feed for this form.
Card Address*
Street City State Postal Code
Terms and Conditions*
- I agree with the terms and conditions of the trip as well as Vilu Travel Designers.
Terms and Conditions of Azomalli by VILU
Privacy Policy Consent*
I agree with the privacy policy
Do you agree to receive news about Azomalli by VILU in your emails?*
- Yes
- No
Do you agree to receive in your emails messages about trips, promotions and other types of content from Vilu Travel Designers?*
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.

Bamboo Loft in Quadruple Occupancy

Participant ? 1

Participant ? 2

Participant ? 3

Participant ? 4