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Booking Request

Please note that we are unfortunately not able to accommodate severely mentally handicapped.
Please fill the booking form in fully, as some bedrooms are more suitable for electric / extended
wheelchairs.

Name:
Address:
Telephone Home:
Telephone Office:
Email:
Fax:
No. of Rooms required:
No. of Adults:
No. of Children (and ages):
   
Level of Disability:
Number of wheelchairs:
Any electric:
Extended:
Hire of Electric Chair required:
Hoist / Commode / Cot side required:
   
Hotel / Apartment / Resort:
Arrival Date:
Departure Date:
Departing Airport:
Flight Number:
Arrival Time:
Further Comments:
If your flight details are not available or change, please inform us immediately.

If you require any SPECIAL DIETS please send us FULL DETAILS with the booking form.

Please advise any other information that may be of use.

Please note: As we cannot provide any personal or nursing care, you must make your own arrangements to ensure that your special needs are taken care of.
 
  Please contact us for special offers, trial and long term stay for elderly people
as well as for long term rentals in general!
 
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