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* 1. Name as per government issued ID (including middle name, if any)

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* 2. Contact Phone Number

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* 3. Contact Email Address

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* 4. Postal Address

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* 5. Date of Birth

Date

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* 6. Please provide the full names and DOB's of all travelling with you

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* 7. Do you have an airline membership number? Please state which airline as well as number

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* 8. Emergency Contact Name (Someone NOT Travelling With You) Phone Number & Email Address

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* 9. Do you wish to join our mailing list?

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* 10. Each airline and tourism providers have their own vaccination policies - is each passenger at least double vaccinated?

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* 11. By providing these details, you are consenting to your information being passed along to relevant third party sources such as, but not limited to,  airlines, ground operators, accommodation providers and insurance companies. This information is protected by relevant laws and only used for it’s intended purpose.

You are also agreeing to abide by all T&Cs of Moore to Travel as well as any additional requirements set by the government and/or private companies. If unsure, please ask us! We are more than happy to point you in the right direction.

Do you agree to the above details set out and all information provided is correct?

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