Inquiry to book your rafting trip

Your Rafting Trip With Rafting Team to

I have read and understand your Important Information and Booking Agreement.

Personal Information

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Family Name:

First Name:

Age:

Sex:

MaleFemale

Nationality:

City:

Street:

Country:

Zip/Postal code:

Telephone:

Email:

Fax:

Passport no.:

Occupation:

Passport Expiry:

Do you have insurance which cover helicopter evacuation?

YesNo

Insurance Company:

Policy No.:

Medical Problem if any:

Are you vegetarian:

Yes No

Flight Details

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Date of Arrival:

Date of Departure:

No. of Group:

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 more than 20

Airport Pickup:

Yes No

Comments/Questions: