(including Galapagos cruise - small ship cruising)
NOVEMBER 13 - 28, 2021

& SAVE $1,000/COUPLE !


Personal Information


Passport Information

Note: A valid passport (expiring no earlier than 6 months after your scheduled departure from the region) is required for entry into the destination.

Contact Information

Tour Pricing

Please place a check in each applicable box (tour item) for each passenger.
All prices are per passenger and are quoted in CANADIAN $ (this is unlike many programs offered by other companies including a Galapagos cruise component which are quoted in US$ - and, with a premium of almost 40% when paying in US$, this makes a significant difference).
MAIN TOUR: CME, Ecological & Cultural Tour of Ecuador (Galapagos) & Peru (see Note 1)
a)   Per person (double occupancy - Explorer Double Cabin, Horizon Deck) - $11,495
b)   Cabin Upgrade to Expedtion Deck, Explorer Double Cabin - $450
c)   Cabin Upgrade to Panorama Deck, Explorer Double Cabin - $750 - SOLD OUT !
d)   Cabin Upgrade to Panorama Deck, Darwin Suite - $1,500 
e)   Not applicable for this program
f)   Single supplement (if travelling alone) - Horizon Deck, Explorer cabin - $2,450 (see Note 2)
g)  Not applicable for this program
h)  Single share fee (if you're single and we find you a roommate) - $300        
i)   Supplemental taxes and fees - $715
j)   Academic CME Program Registration fee - $800

Please note: Explorer Double Cabins, Horizon Deck on M/N Santa Cruz II are now SOLD OUT !
Upgrade required.




 Repeat Customer Discount :
 Enter $100 for each of the passenger's previous tours with us, up to a maximum
 of $300 (3 tours). Final balance payment must be made by Cheque to qualify.         
Total insurable costs per passenger :                                                         
Pass. 1 🛈
Pass. 2 🛈
Pass. 3 🛈
 Order Total :
Current Total: 🛈
** Notes
1. Main tour base price includes Explorer Double Cabin, Horizon Deck on M/N Santa Cruz II (NOTE: this cabin type is now SOLD OUT Cabin upgrade required). Cdn$11,495/person pricing applies until Aug 9, 2021, after this date add $500/person.   
2. If you are single and wish to upgrade to a higher cabin category, the upgrade cost for that particular cabin category is also payable in addition to the single supplement of $2,450
eg., if upgrading to an Expedition Deck, Explorer cabin the supplement is the single supplement of $2,450 plus the cabin upgrade supplement of $450, ie a total supplement of $2,900.     

Travel Insurance

We strongly recommend that you take out travel insurance to protect you against the unexpected due to, in particular, limited provincial health care coverage afforded to Canadians while traveling overseas and the cancellation provisions inherent in your booking. We offer the following insurance coverage options through Manulife Insurance, one of Canada’s leading insurance providers –



There are significant inherent cancellation penalties associated with your booking as detailed in our booking terms and conditions and this insurance package provides coverage for all monies paid for your trip if you should have to cancel due to medical, or other listed, reasons either relating to yourself or a member of your immediate family. It also covers you for trip interruption costs short notice return flight home etc) for medical reasons again, either relating to yourself or an immediate family member as well as flight and travel accident and baggage insurance.



This plan provides coverage for all the components in the Non-medical Inclusive plan, plus health coverage while in the destination.


"Cancel for any reason (CFAR)" coverage - NEW and at no additional cost !! 

So long as you purchase either of the two insurance policies above at the same time as your tour booking, you are automatically entitled to this added benefit of CFAR coverage whereby, if you need to cancel your tour booking up to 14 days or more before departure for any reason, your policy will refund you up to a maximum of 50% of the cancellation penalties incurred. This is excellent peace of mind coverage to protect you against (50% of the) cancellation penalties incurred in a situation where the reason for cancellation is not one of the regular covered risks in your policy (ie it is essentially "change of mind" insurance).



As a third option, Manulife is now also offering a new enhanced travel insurance policy, their Premium Protection Plan (“PPP”). This is Manulife’s most comprehensive coverage, providing all the same types of coverage as the All-Inclusive plan (above) but with higher covered amounts in most areas. It is also a simplified policy in so much that, whereas the All-Inclusive plan and Non-medical Inclusive plan (above, and as is the case with most insurance company travel policies) have a list of specific covered events, the PPP offers cancellation coverage for any unexpected and unforeseen event (ie., any event, situation or circumstance that is beyond your control that prevents you from travelling) with only a few  exclusions that apply. 

An overview of the PPP may be found by clicking here 

A comparison of the enhanced benefits provided by the PPP compared to Manulife’s regular All Inclusive plan may be found by clicking here 

And, in these uncertain times, a major benefit of the PPP is that coverage for reimbursement of inherent cancellation penalties under the Cancel For Any Reason (CFAR)" coverage is increased to 80% of the cancellation penalties incurred for all cancellation up to 7 days or more before departure. 

Please note, the PPP is only available to clients under the age of 75 (at the date of purchase of the insurance coverage) and must be purchased at the same time as the travel tour booking is made (72 hour grace period). 


A detailed overview of coverage benefits and limitations of each insurance policy that we offer through Manulife may be found at -

** Non-Canadian residents 

For residents of countries outside of Canada (including the USA), insurance regulations allow us to sell “Trip Cancellation” insurance (this policy includes both trip cancellation and trip interruption coverage but not medical coverage). Hence it is not possible for non-Canadian residents to purchase either the All Inclusive or Premium Protection plans from Manulife. We do find that many of our overseas clients already have medical insurance through other channels and therefore, if this is the case, you may purchase “Trip Cancellation” coverage by following the link below to purchase the “Trip Cancellation” insurance policy (taking advantage of our preferred rates with Manulife) via our company’s exclusive Manulife link:

** For residents of Ontario, simply accept your choice of insurance (Non-medical Inclusive, All-Inclusive or Premium Protection coverage) below and we will apply the corresponding insurance premium(s) on your invoice confirmation.
Choice of travel insurance: *
Each individual passenger's insurance premium is based upon their total insurable costs (total for all passengers is shown above using the "Calculate" button) and their age at the date of booking. Using this information, you may find amount of the premium using the table shown below. The insurance premium is due at the time of booking with the tour deposit. More payment information can be found in the next section. 
Note: Total Insurable Costs relate to the total cost of your booking (including all taxes fees and miscellaneous other amounts) on a per person basis (as seen using the individual total calculations in the Tour Pricing section).

** For residents of Canadian provinces other than Ontario, insurance regulations state that travel insurance should be taken out directly with Manulife Insurance, albeit through a direct web link hosted on our web site, ie you should purchase your travel insurance policy by simply following the link below to take advantage of our preferred rates with Manulife) via our company’s exclusive Man ulife link: 

Choice of travel insurance: *




Due to its worldwide impact, COVID-19 has been deemed by all travel insurance companies, including Manulife, to be a “Known Event” at the time of the insurance policy purchase and hence the majority of claims relating to COVID-19 are excluded for both trip cancellation and medical insurance coverage in most circumstances, with the two most common situations that will apply to travelers being summarized below –

1. Canadian Government Level 3 (Avoid All Non-Essential Travel”) or Level 4 (Avoid All Travel) Advisory is in place regarding the travel destination at the date of claim. 

• Any claims due to COVID-19 relating to either trip cancellation coverage or medical insurance coverage in destination are excluded

• Note: Manulife Insurance now offers a separate additional policy which will cover travelers for any medical costs in destination related to COVID-19 for clients traveling when a Level 3 (Avoid All Non-Essential Travel”) advisory is in place. This insurance can be purchased at any time prior to departure and, for those passengers 60 and over, a medical questionnaire must be completed. We will provide information regarding the process to purchase this insurance with your booking confirmation.

2. Canadian Government Level 3 (Avoid All Non-Essential Travel”) or Level 4 (Avoid All Travel) Advisory is NOT in place regarding the travel destination at the date of claim.    

Medical claims in destination relating to COVID-19 are covered. Trip cancellation claims relating to the client cancelling due to concerns regarding travelling to the destination because of COVID-19 are excluded


Note: However, trip cancellation claims will be covered if you need to cancel your trip for one of the following events:

• You become ill due to COVID-19 before your departure from Canada and need to cancel your trip; or

• You experience an involuntary loss of employment due to COVID-19


Therefore, because trip cancellation claims relating to COVID-19 (with the exception of you contracting COVID or losing your job due to COVID-19) are not covered, it is even more important to purchase one of the insurance policies above at the same time as your travel tour booking is made in order that you have Cancel For Any Reason (CFAR) coverage to protect yourself against cancellation penalties should you decide to cancel.

Travel insurance that may be available through your credit card

When considering any of the travel insurance policies above, if you believe you may have coverage through your credit card we would strongly advise checking with the credit card company the actual coverage afforded to ensure it covers medical, trip cancellation and trip interruption as not all of these items are always covered. Also, if they are covered, the actual coverage limits for trip cancellation and trip interruption can often be quite limited as to trip duration or insured $ amount in the event of a claim (for example, it is not uncommon for trip cancellation coverage to be limited to approximately $2,500 (and sometimes lower..) per booking (rather than per person) and for trip interruption to be limited to $1,000 per person – you would need to check with your credit card company for actual coverage levels). 

Also, most coverage through credit card benefits does not include Cancel For Any Reason (CFAR) coverage.


If it is still your intention to decline our insurance, please place a checkmark in the box below. Otherwise, please select a travel insurance package from the selection above.

Insurance declined waiver *


- $700 per person + applicable insurance premium (see table in Tour Pricing section), both non-refundable
- If Business class upgrades are purchased, the full upgrade cost is also due at time of booking
- Payable by credit card only with registration. 

- Final balance amount will be indicated on our invoice confirmation which will be provided to you following our receipt of this online registration form
- Due by no later than August 10, 2021 (For registrations received on or after this date, payment is required in full at the time of booking)
- Payable by credit card or cheque 

We accept payment by either cheque or credit card (Visa and Mastercard only; American Express not accepted)
Upon receipt of our invoice confirmation, please send a cheque for your balance post-dated to August 10, 2021, payable to Doctors-on-Tour.
Balance payments must be made by cheque if you are taking advantage of our Repeat Customer Discount. 
20 Princeton Road
Toronto, On.
M8X 2E2
Please complete the credit card information below. Even if you are paying the balance by cheque, deposits must be paid via credit card.
* All credit card data entered on our form is protected by SSL encryption and hosted on our secure server. 
 See the https:// secure website verification in the page URL (address).



Please indicate the method of payment for your final balance. *
Please indicate the method of payment for your final balance. *
** Since you are taking advantage of our Repeat Customer Discount, balance payments must be made by cheque. If you wish to pay your final balance by credit card, you must remove the Repeat Customer Discounts in the Tour Pricing section, at which point the 'Credit card' option will be available for selection above.
Credit card authorization *
Credit card authorization *
Terms & Conditions - Please read our T&C at this page on our site *
Liability Waiver - Please read our Release of Liability Waiver at this page on our site. *