Galapagos Wildlife Cruise Booking Form 2026

Galapagos Wildlife Cruise Booking Form
Tour Date:
- 19 - 31 May, 2026
Booking Deposit is $1,000 per person.
Personal Details
Your Preferred Name*
Last Name*
Postal Address
Street Address Address Line 2 City Post Code Country
Your Phone
Your Email*
Email Permission*
I give permission to Tours Direct Ltd to send acknowledgements, tour information and promotional material via email.
- Yes
- No
I have a travelling companion and would like to make a booking for them*
- Yes
- No

Accommodation
Please specify your room preference*
- Room to myself
- Share, if there is someone who also wants to share
- Share with Companion
I already have someone I want to share with and they are:
Health
Medical Conditions
Are there any medical conditions we need to be aware of.
Special Dietary Needs
Family Contact
My Next of Kin (NOK)
Next Of Kin Relationship
NOK Email
NOK Phone Number

Travel Details
International Airfares*
The tour price includes Economy Class return airfares from Auckland. If you are considering an upgrade to Business Class please select that below.
- Economy Class
- Business Class
Extra Travel
Are you considering extending your travels beyond the tour?
- Yes
- No
Domestic Airfares
Do you need to arrange flights to get to Auckland to start the tour?
- Yes
- No
My Frequent Flyer Airline & Number
Passport Details
Your Full Passport Name
Your Title
Your Date of Birth
Day
Month
Year
Your Passport Number
Passport Expiry Date
DD slash MM slash YYYY
Nationality
Country
Travel Insurance
Insurance Quote*
Would you like us to quote you Travel Insurance?
- Yes
- No
Your Date of Birth
Day
Month
Year
Your Travel Insurance
Name of your Travel Insurance Company (if known at this stage)

Travel Details
International Airfares*
The tour price includes Economy Class return airfares from Auckland. If you are considering an upgrade to Business Class please select that below.
- Economy Class
- Business Class
Extra Travel
Are you considering extending your travels beyond the tour?
- Yes
- No
Domestic Travel
Do you need to arrange flights to get to Auckland to start the tour?
- Yes
- No
My Frequent Flyer Airline & Number
My Companion's Frequent Flyer Airline & Number
Passport Details
Your Full Passport Name
Your Title
Your Date of Birth
Day
Month
Year
Your Passport Number
Passport Expiry Date
DD slash MM slash YYYY
Nationality
Your Companion's Full Passport Name
Your Companion's Title
Your Companion's Date of Birth
Day
Month
Year
Your Companion's Passport Number
Your Companion's Passport Expiry Date
DD slash MM slash YYYY
Your Companion's Nationality
Travel Insurance
Insurance Quote*
Would you like us to quote you Travel Insurance?
- Yes
- No
Your Date of Birth
Day
Month
Year
Your Companion's Date of Birth
Day
Month
Year
Your Travel Insurance
Name of your Travel Insurance Company (if known at this stage)

Booking Conditions
I have read and understood the Booking Conditions for this tour as in the Information Pack*
- Yes
- No
Tour Deposit
You have chosen a wonderful travel experience. We will send an invoice for your deposit.

Booking Conditions
Tour Deposit
When we have received your deposit we will confirm your tour booking. Click Submit to go to the secure payment page.
I have read and understood the Booking Conditions for this tour as in the Information Pack
- Yes
- No
Tour Deposit

Booking Conditions
Tour Deposit
When we have received your deposit we will confirm your tour booking. Click Submit to go to the secure payment page.
We have read and understood the Booking Conditions for this tour as in the Information Pack
- Yes
- No
Tour Deposit

Galapagos Wildlife Cruise 2026