*First Name: *Last Name: *Phone Number: Home Office *Email: *City: *Country: How would you like us to contact you? Email Phone *Where would you like to travel? 1- BUENOS AIRES          (includes Uruguay) 2- EASTERN           ARGENTINA 3- NORTH           WESTERN           ARGENTINA 4- CUYO 5- PATAGONIA *When would you like to visit Argentina and Uruguay? Please enter your estimated travel dates here. If you would like advice on the best time to travel, we can help you with that – simply let us know and we’ll work with you to plan your itinerary. *How long would you like to stay in Argentina? Please enter the length of your vacation. If you would like advice on how long to spend at your destination, we can do that too! Simply let us know and we’ll work with you to plan your itinerary. *Number of people in your party: Adults (+12 years)   01 02 03 Children (3-12 years) 01 02 03   Infants (0-2 years)  01 02 03 *What type of accommodation or vacation are you interested in? Standard Hotel Superior Hotel Luxury Hotel Adventure Travel Eco-tourist Lodge Spa *How did you hear about us? Online ad Friend Internet Search Mail from Exotic Patagonia Link from another website Article on Internet Ad in a print publication Art in a print publication Travel Expo Travel Agent Other *Please select a statement that best matches your unique personality and travel objectives. This will help us to design the best vacation possible to suit your unique personality and travel style. You want to see as much as possible. For example, on a 10 day vacation you’d be happy to visit more than 5 different locations and see as much as possible in your time in Argentina. You would like to have time to relax and get to know the places you are visiting. For example, on a 10 day vacation, you would like to visit less than 3 different locations and really get to know a smaller number of places better. You would like to focus on your interests. For example, you are coming to Argentina to indulge your interest in Adventure Travel, Ecotourism, Sports, Thermal Tourism, Rural Tourism, Cultural Tourism, Wine Touring, Tango Lessons, Shopping, etc. Please tell us anything else that might be relevant to planning the perfect itinerary for you in Argentina: Do you have any Special Requests such as dietary considerations, special needs, or any medical requirements you need help accommodating? If so, please tell us some more about your needs here. *Obligatory fields
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