Συμμετοχή σε πρόγραμμα A Million Senses

Name*

First NameLast Name

Address*

Address

CityState / Province

Postal / Zip CodeCountry

Phone Number*

E-mail*

Do you prefer AMS contacting you via:*

E-mailPhoneBoth

Number of participants*

Number of adults*

Number of children *

Number of persons in the autism spectrum*

Age of persons in the autism spectrum*

divide with ,

Age of the other children*

divide with ,

Short profile of the persons in the autism spectrum

My holiday choice*

From*

To*

The destination I wish to visit for my next holidays*

In this destination*

I have arranged accommodationI want a program with accommodation included

In my accomodation price I prefer

B&B (Breakfast included)Half board (Breakfast and dinner included)Full board (Breakfast, lunch and dinner included)All inclusive (All meals, snacks and drinks included according to hotel policy)

Optional services*

Daily group recreational activities (20:00-22:00)Shopping assistanceBabysitting

Details for babysitting

Fill in days and hours needed

Personal inquires and additional useful information

How did you find A million senses*

Keep me posted on your programs, news and offers

YesNo

By submiting this form you apply to travel with us and enjoy our unique holidays.

A million senses team is working every day to offer the ideal travel program for you to relax and have fun, taking your special needs into serious consideration. Please provide us with as much information us possible to help us improve our services and your experience.

An associate of AMS will contact you soon.

The AMS team