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Ruim 50 jaar ervaring in actieve reizen

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Booking Form

event 2723844 1920 Mashiro Momo via Pixabay

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Booking Form (English)

This form puts our discussed trip in writing. It includes the essentials, your preferences, and your personal details. After I’ve reviewed it, I’ll arrange everything to ensure your trip goes smoothly.

Voor het Nederlandse formulier, klik hier

"*" indicates required fields

Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.

Travel data

DD dash MM dash JJJJ
E-mail address*

Who is booking?

Salutation
Date of birth (DD/MM/YYYY)*
A valid travel insurance is required to participate in the trip. A cancellation insurance is recommended. Both can be arranged through Bharte Reizen. Of course, you are free to purchase insurance elsewhere.
Send me information about insurance (EU residents only)
Bharte Reizen offers a short-term travel or cancellation insurance for this trip. I can send you information without obligation.

Fellow travelers

List
Salutation
First name as in passport
Last name as in passport
Date of birth
Street and house number
Address line 2
Postal code
Phone nr
E-mail address
 
Click on + to add multiple travelers
Emergency contact details
We kindly ask for the contact details of someone who is not traveling with you, to serve as an emergency contact in case of unforeseen situations.
Option 1
First name
Second name
Phone number
 
Option 2
First name
Last name
Phone number
 
Those without mobility issues can skip this section. Below are the essential questions regarding accessible tours: • If you are a wheelchair user, what type of wheelchair do you use? Is it a manual or electric wheelchair, and can it be folded? • Can you climb into a regular car, or do you require a special vehicle with a ramp, etc., for your tour? • Would you transfer to a regular seat, or would you remain in your wheelchair during the tour/transfer? • If you use mobility aids and can share the model and/or a photo, that would be helpful in matching you with the right vehicle for your tour. • Are there any other limitations I should be aware of in advance? • This information gives me insight to start preparing a proposal.
If renting a car through Bharte Reizen: names of all drivers and EXPIRY DATE of the driver's license.
If traveling with your own vehicle: license plate, make and model of the vehicle, license plate from trailer if available. If booking a ferry: total length of the combined vehicles in CENTIMETERS.
Instemming*
Instemming*
Instemming*
Date (dd/mm/yyyy) and city
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