DISABLED ACCESS HOLIDAYS - Quotation Request
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 *
Board Basis...
Self Catering
Room Only
Bed and Breakfast
Half Board
All Inclusive
Prefered departing Airport (in UK)
*
How many require full wheelchair assistance at airport?
*
How many require a wheelchair adapted vehicle to the resort?
Preferred UK Destination
*
Preferred UK Accommodation Name
Preferred Accommodation Type *
This will help us offer alternatives if your selected accommoadtion is not available for the dates selected.
Accommodation Type...
Hotel
Guest House/B&B
Self Catering Cottage/House/Conversion
Caravan
Other
If Other, Please Specify
Room combination e.g 2 twin and 1 single
Preferred Board Basis
Board Basis...
Self Catering
Room Only
Bed and Breakfast
Half Board
All Inclusive
Preferred Board Basis
Board Basis...
Self Catering
Room Only
Bed and Breakfast
Half Board
All Inclusive
Preferred Board Basis
Board Basis...
Self Catering
Preferred Board Basis
Board Basis...
Self Catering
Room Only
Bed and Breakfast
Half Board
All Inclusive
Tracking Hoist Required (Not applicable if hotel)
Yes
No
Profile Bed Required
Yes
No
Any Pets ?
Yes
No
If Yes... Pet details
Do you have any flexibility with your dates? *
Flexibility...
Not Flexible
+/- 2 days
+/- 3 days
+/- 5 days
+/- 7 days
Flexible
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.
This will help us to find the best property for you depending on availability and changeover days for self catering properties.
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 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.
We'd love to email you product news and great offers. These offers are exclusive to our email subscribers. You can unsubscribe at any time. Please read our
Privacy Policy
for details on what we do with you information.
Subscribe to our mailing list
*
indicates required
Email Address
*
What are you interested in?
Special Offers & Last Minute Deals
Holidays in UK
Holidays Abroad
Please note....
this will not submit the quotation form completed above
. It will only subscribe to our mailing list.