Avium

BIRD-WATCHING RESERVATION REQUEST

Town /City:			County / province:
Country:			Postcode:

Contact

Telephone number:
Mobile phone:

e-mail address:

We need the following data in case of emergency.


Contact person:
Telephone number:

Number of people taking part in the activity
Route or activity:

From:
To:

Lodging:

Single room

Double room

Any special diet?

Yes

If yes, please indicate

Any illness or medical treatment you think we should know for the sake of your security?

Yes

If yes, please indicate.

Insurance

Please indicate the coverage of your insurance policy

Comments


		I have read the reservation conditions and I agree.
		See reservation conditions.