Holiday Destination Search

BOOKING REQUEST - GET A QUOTATION FOR YOUR WHEELCHAIR ACCESSIBLE HOLIDAYS

Please give us as much information as possible when filling out this form. * Indicates Required field
Please note, we cannot provide quotes without this minimum information as there is just too much choice and scope in terms of budget and facilities.

PART A - Holiday Information
Please answer the questions below for us to provide a quotation for your preferred destination.
Number Of Nights: *
What dates are you interested in ?
Start Date * End Date


Number of travellers
Number of Adults(Age Over 16)
Number of Children
Age Child 1: Age Child 2: Age Child 3: Age Child 4:

How many disabled people in your party?
Destination
UK Not UK
Destination country *
Preferred Destination Resort name *
Preferred Destination Accommodation name *
Number of rooms/apartments
Room combination e.g 7 people 2 twin and 1 triple
Preferred Board Basis *
Prefered departing Airport (in UK) *
How many require full wheelchair assistance at airport? *
How many require a wheelchair adapted vehicle to the resort?
Do you have any flexibility with your dates? *
We recommend the flights with the best cost and flight times. The flexibility option is important for us as sometimes better flight times/cost are "available on different dates to your preferred dates.
Is it a manual or electric wheelchair?
Approximate budget(what do you want to spend per person
Do you have any questions or specific requests? e.g mobility equipment hire


Part B - Customer Contact Information
The information below is used for us to communcate with you. Please read our Privacy Policy for details on what we do with you information.
Tell us how to get in touch with you.
Please provide an email address AND / OR telephone number:

Name
Tel : *
E - mail: *
Full address:
Please Note: We can use your address to locate the nearest airport if you have not specified a preferred departing airport in Part A.






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