Services unless specified otherwise in the itinerary above such as international air; airport taxes; tips and gratuities; optional or suggested services that are on your own; insurance of any kind; personal expenses; extra beverages and alcoholic drinks; medical costs; and hospitalization and evacuation and any other extra expenses due to unanticipated changes in your itinerary for reasons beyond control. You will need to carry about $300-$500 extra cash (must be in local currency or US dollars cash, not travelers checks nor credit cards) to cover the fees, taxes, tips and meals not included in your itinerary. Meals, souvenirs and other local and personal expenses not specified in the above itinerary are also not included. Always carry enough change for international ($30) and local ($6) airport departure taxes. A local guide who specializes in that region will meet you in each new city. Advance visas are not required for American and Canadian citizens.