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Albania Booking Form
mpgadmin
2024-09-11T14:16:46+01:00
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First name
*
Last name
*
Email
*
Mobile number on which you will be contactable on day of travel and during trip
*
First and last name as shown on passport if different from above. (These will be checked by some hotels and there may be delays if they’re not correctly shown.)
*
Nationality/issuing country of passport
*
Passport number
*
Do you want to add another MPG member to this booking?
*
Yes
No
Person Two
Second person first name
*
Second parson last name
*
Second person first and last name as shown on passport if different from above.
*
Second person nationality/issuing country of passport
*
Second person passport number
*
Single supplement
*
I will pay the single supplement
I wish to share a room
Name of person to share room (if known)
Arrival Information
Expected date and time of arrival in Tirana
*
Insurance Details
Insurance company
*
Policy number
*
Insurer's emergency contact number
*
Any medical condition the organisers should be aware of?
*
Yes
No
Please list medical conditions:
*
Any dietary restrictions?
*
Yes
No
Please give details of dietary restrictions
Name of family member/friend to contact in emergency
*
Family/friend contact number
*
Second person emergency contact details if different
Terms and Conditions
*
I/we confirm that we have read and understood the Essential Information and Terms *
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View Terms and Conditions
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