Name: Email Address: Address Tel: Where are you traveling When are you traveling Do you require assistance on a return basis. Yes No Will you be traveling by. Air Rail Sea What is the age of the traveler if under 18? Is a wheelchair required at any stage If Yes, is it Your own? Pool wheelchair? Whole journey? Terminals only? Do you require assistance in booking travel tickets Yes No Maybe Do you require Visa / Immigration Advice Yes No Maybe Would you be prepared to be contacted by phone as a client referee after your journey? Yes No Special diet required? (if you select yes) we will contact you to discuss your specific needs Yes No Special health requirements? (if you select yes) we will contact you to discuss your specific needs Yes No Have you already booked your travel ? What Postcode will you be traveling from? Do you agree to yourtravelbuddy contacting you ? If yes, preferred contact method ? Tel Email Post It would help us if you could tell us how you found out about us? Search Engine National Media Word of mouth Link from another site
Special diet required? (if you select yes) we will contact you to discuss your specific needs