First Name

Last Name

Phone *

Email *

Address

Street Address

City

State

Country

Postal Code

Accommodation Selection *

Single - $7,683 Deposit $1,921

Double - $7,333 Deposit $1,833

Friend - $14,665 Deposit $3,667 (Share a room)

Add-Ons (Optional)

Ayahuasca Ceremony $500 - If you sign up for the Ayahuasca Ceremony, you will need to arrive on Friday. You will also need to select the add-on of an Extra Day.

Luxury Hiram Bingham Train $800

Shamanic Ceremony $200

Huayna Picchu Hike $80

San Pedro $90

Personal Valet $90/day

Spa Treatment / Massage $90

Extra Days $60/day

Limo Service: Airport $110 | Half day $150 | Full day $275

I have read and agree to the Terms and Conditions.

⚠️ Deposits are NON-REFUNDABLE By registering, you agree that your deposit is non-refundable. Final payment will be requested later through Relay Bank.

Important: You will not be registered until the deposit has been paid. The payment request will be sent to you from Relay Bank.

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