APPLICATION ON-LINE <<Back to Index

Personal Information
Name
Last Name
Sex
Birth Date
Nationality
Apt# / Street 
City
State and Country
Postal Code 
Telephone (Home)
Telephone (Work)
Fax
E-mail
Telephone # of a responsible person for emergencies
Passport #


Tour Details
Besides the tours offered at our Tours pages,
Casa Xelajú can organise a tour for you anywhere in Guatemala
Antigua & Guatemala       Chichicastenango and the Quiche
Coban Alta Verapaz Huehuetenango and Zaculeu
Monterrico Panajachel
Puerto Barrios Quetzaltenango
Retalhuleu Rio Dulce
Tikal Totonicapan

Tour(s) you are applying for
Hotel reservation preference
Date you wish to start the tour  


Travel
Would you like to be met at the airport? Yes  No
If yes, answer the questions below
Which Airport?
Airline
Flight#
Date of arrival
Time of arrival (Guatemalan Time)


Payment
You wish to pay by: Bank Transfer (Please contact our USA office to get our account #)
Check (indicate check number, amount, date and send to our USA office)
Total amount of check (US$)
Number of check
Date send by mail


Inquiry
Where did you learn about Casa Xelajú?
How do you wish to receive your booking confirmation? E-mail
Regular Mail
Fax

Comments and suggestions will be appreciated.

Thank you for your interest in Casa Xelajú

I acknowledge that I have read and understand the conditions presented and understand my financial obligations which begin upon receipt of my confirmation.