Dear Visitor,

In order for EcoCuba Pro to customize the perfect vaccation experince for you, kindly elaborate on the following:

    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: *

    Estimated Budget In United States Dollar

    Montant $ USD

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