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First name

Last name

Email

Code

Phone

Service that you want to book

Destination

HOTEL Name/ CODE (for hotel requests)

Total N. of people

Number of people with resticted mobility

Arrival:

Departure:

Are you able to transfer yourself from the wheelchair to a vehicle?

Do you use special equipment?

Electric Wheelchair

Manual Wheelchair

Crutches

Rollator

Scooter

None

Other

Your message or additional request

Accessible Travel, Training & Consulting

Phone +30 694431 9506

WhatsApp +30 694431 9506

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