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Name
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Postal code
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Mail
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date of birth (ddmmyy)
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Comment
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Damage to luggage
Train/Plane late
Type of travel
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Destination Country
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Starting date (ddmmyy)
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Return date (ddmmyy)
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Family (starting from 3 people: parents and children living in the same household unit)
Other (unattached individual, friends, etc.)
beneficiaries
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if above 10 people, please contact our Customer Service
Date of purchase (ddmmyy) :
*
Travel cost :
€ (incl. VAT) Beneficiary 1 *
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