Disabled Access Holidays - Quotation request form - Accessible Accommodation in Europe

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.

BOOKING REQUEST - GET A QUOTATION FOR YOUR WHEELCHAIR ACCESSIBLE HOLIDAYS

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