Galapagos Safari Camp - Reservations

*Name
*Email
*Telephone
*Number of nights
*Dates Arrival		Departure
*Number of people
Address
	Rates 2010
	Single occupancy $340 USD Double occupancy $227 USD
	Sofa bed supplement $100 USD (one child per tent up to 12 years of age)
	Rates are per person per night with breakfast and dinner included
	Rates do not include local taxes
* Indicates required field