b.:: Reservation

.::Individual Registration Card

 
 
Thank you for compile this card with care and copy and past for send us by mail (info@ranchdediabat.com), it help us to prepare better you holiday. Some information allow us also to complete the poilce fomality.
Trekking name          
Date          
Airport departure
Airport arrival

Airport departure return  
Arrive Day





Hour
Return Day
Hour
Surname
Name *
Addresse
Tel GSM    
E-mail * FAX      
Date and place of born Height Weight
Nationality N° passport Date of delivery
Livel rider                 
Experience with other trekking
Personal Assurance about the rider

Particular food (VEGETARIEN,ALLERGIE...)

Healt problems (ALLERGIE, DIABETE...)

                     
People to contact in case of necessity, Name
TEL 1   TEL 2      GSM   
Write here all the other information that you think are useful to communicate us
 

 

For reserved  : The advance in fixed in 30% of the total, to deposit in the current account of: Mr Bourhim Essaid, Société Générale 022 240 000 175 00 091227 14 22, agence Essaouira, Maroc.

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