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Hot Air Ballooning Online Booking

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FORM FOR ONLINE BOOKINGS 
Please complete all compulsory fields.
Flight Details
Preferred date of Flight*
Type of flight*
Contact Person*
Contact No.*
Contact Email*
Company Details
Company Name*
Vat No.
Address
Passenger Manifest (All fields compulsory)
Name*
Surname*
Cell No.
Emergency Contact No.
Email
Weight*
+ ADD PASSENGER.
Coupon Code
Sub-Total
Discount
Total
Total Payable Now
Total Weight (kg)
Payment
Booking Type*
Payment Type*
Terms and Conditions*
I have read and accept the Terms and Conditions
Security Code