My Dream Vacation

My Anticipated Date of Arrival:

Full Name

Address Email

Phone Number

My main interest in Visiting the Republic of Cuba is to enjoy the following: *

Sports : BikingSports :TrekkingSports : FishingSports : Scuba DivingSports : SalingSports : Farm stay Including back-country Horseback ridingSports : Jeep safaris : Extended ToursSports : Jeep safaris : Daily ToursSports :Birdwatching/BirdingRum Tour: ExtendedRum Tour: DailyCigar Tours: ExtendedCigar Tours : DailyVarious Cities Tours : ExtendedCity Tours : DailyMedical : Medical Retirement Living with entertainment : ExtendedMedical : Medical Evaluation with entertainment : ExtendedMedical : Entertainment program for visitors requiring Homodialysis serviceswedding Ceremony Planning (Including Same-sex Weddings)Business Visit

My Accommodation Preference is:

Budget Casa Particular: Apartment/ VillaHotel Accommodation: 5 StarsHotel Accommodation: 4 StarsHotel Accommodation: 3 StarsResorts Accommodation: Extended: 5 StarsResort Accommodation: Extended: 4 StarsResort Accommodation: Extended: 3 StarsHostel AccommodationI do not Require any Accommodation

Duration

1-3 Days3-5 Days1 Week1 MonthRetirement

Transportation: I Require your Assistance in Renting a Car

EconomyFull-sizeLuxury SedanSUVI do not Require any Car Rental

Geographical Location: I am interested in visiting the following region:

Pinar del RíoArtemisaLa HabanaMayabequeMatanzasCienfuegosVilla ClaraSancti SpíritusCiego de ÁvilaCamagüeyLas TunasGranmaHolguínSantiago de CubaGuantánamoNo Preference

I Require Visa Extension:

YESNO

I Require Assistance for Special needs:

YESNO

Other Services: As part of your program, EcoCuba Pro offers the following services free of Charge:

- Tour Guide
- Translation Services
- 20-Hours Internet services
- Attending to Visitors' Personal Needs.

Other Instructions:

I Require the Following Special diet: *

Medical diet for the diabeticMedical diet for visitors with heart conditionsVegetarian dietVegan dietKosher mealsHalal mealsSign LanguageAssistance for the BlindNursing or Medical CareNo Special diets/ meals

Estimated Budget In United States Dollar

Montant $ USD