Form – HandicapTourisme

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De vos rêves à la réalité !

Registration individual Holidays

REGISTRATION individual Holidays MARTINIQUE ACCESS'ILE

Thank you for settling on MARTINIQUE ACCESS' île

MARTINIQUE ACCESS' Ile accompanies you and organizes your individual holidays according to your needs.

We take good note of your registration

To target better your waits, thank you for completing this form most exactly possible. MARTINIQUE ACCESS' île could not be responsible for consequences resulting from inaccurate or incomplete indications.

The general conditions of contract and journeys MARTINIQUE ACCESS' île are an integral part of the contract and are downloadable.

Good holidays with MARTINIQUE ACCESS' île!

Destination

Place:

From:

Till:

Budget:

Customer representative

Name / First name:

Date of birth:

Nationality:

Landline telephone:

GSM:

Mailing address:

Email:

Name and phone number of a person to contact in case of emergency:

Other people participant in the journey

Accomodation

I wish:

Occupation :

Specify:

Situation:

Specify:

Category:

Including:

Transport

Insurance

An insurance covering the expenses of cancellation journey / repatriation is recommended.
Did you verify your personal insurances?
MARTINIQUE ACCESS' île advises to you regarding travel insurance for an optimal cover and recommends you:

The insurance "MULTIRISQUES-CANCELLATION JOURNEYS" (see conditions CGV/CPV)

DEMAND OF OFFER I appoint MARTINIQUE ACCESS ' île, 19 Chemin des pavillons - 97221 CARBET Martinique, to be made a proposal of journey.

On:

Made for and signed: