Please fill out a separate registration for each traveler
First Name as it appears on your passport (required)
Middle Name as it appears on your passport (if applicable)
Last Name as it appears on your passport (required)
Country of Issue (required)
Passport Issue date
Passport Expiry date
Date of Birth (required)
Country of Birth (required)
Mailing Address (required)
ZIP/Postal Code (required)
Your Email (required)
I am: FemaleMale
(Optional) My roommate will be:
If you want a double cabin for yourself and would like us to invoice you separately for the single supplement of $2,299 or if you have any other requirements, such as a special diet or physical limitations, please request them in the area below...
I understand that Body Mind Spirit Journeys highly recommends the purchase of Trip Cancellation Insurance, and our preferred Insurance provider is Allianz.
(Required) I understand and accept the Terms and Conditions for this program.
For security, please enter the following characters in the space below:
After clicking, please wait to be re-directed to another page to make your secure online payment via PayPal.
(You do not need a PayPal account. You only need a VISA, MasterCard, American Express, Discovery, or debit card.)
If you have already registered and you would like to go to the PayPal payment page, please CLICK HERE
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