Your Name and Last name (*)
Your email (*)

Phone number (*)

Address (*)

ZIP Code (*)

City and Country (*)

When are you planning to arrive in Patagonia?
Month January Febrary March April May June July August September November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006
How long are you staying (days)?

Where do you want to start the trip (in your
country or in the Patagonia)?

Do you want us to include your flights within
Argentina in your itinerary?

How many people are coming with you?

How old are they? (eg. 16, 40, 35, 60, 30, etc)

Do you wish to stay in high, middle or low class hotels?
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Do you want to start the trip with a full time guide?

Do you want to be assigned a guide for specific
activities? (trekking, climbing, off-road, etc.)

Are you interested in driving or would you
prefer another person to be the driver?

Do you enjoy long trips in a comfortable 4x4
or do you prefer short trips?

Mention the places you are most interested in visiting:

Would you like us to make some suggestions?
Yes No
Are you interested in visiting some Estancias?
Yes No
Do you usually practice sports?
Yes No
Do you like trekking?
Yes No
Are you interested in doing more complex activities?
(high trekking, climbing, etc.)

Are you interested in sports-like activities?
(horse riding, mountain biking, etc.)

Or do you prefer relaxing activities
(sailing, spa, walking, , fishing, sightseeing…)

Which Region are you interested in:
(lakes, mountains, continental ice, sea, etc.?

Would you like to receive our Special Trips Brochures?
Yes No
Would you like one of our specialists to contact you?
Yes No
Please, write down your comments or tips you think that are important to make your trip an unforgettable one!

Which is your preferred media to acquire information
to travel?


Thank you!