Miraviva

Booking form

Please fill in your details prior to travel.

If you wish to make an enquiry, please use our contact form instead.

Details of person to whom correspondence will be sent

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Travel itinerary details

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Details of person to be contacted in case of emergency

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Passengers

Passenger details

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Passenger details Remove

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Passport

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Dietary requirements and medical conditions / disabilities

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International Flights

Please list departure city, destination city, times, dates and flight numbers.

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Travel insurance

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Please make sure your travel insurance is in place from date of booking.

Payment details

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25% of holiday price unless otherwise advised or full price if less than 8 weeks prior to departure.

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Wire transfer

Miraviva Travel Limited, Barclays Bank, Sort Code 20-78-98 A/C no: 23487164. For international payments please contact Miraviva for bank details.

Your financial protection

When you buy an ATOL protected air holiday package from us, you will receive a confirmation invoice from us confirming your arrangements and your protection under our Air Travel Organisers Licence 10722. In the unlikely event of our insolvency, the CAA will ensure that you are not stranded abroad and will arrange to refund any money you have paid to us for an advance booking. For further information, visit the ATOL website www.atol.org.uk.

View full terms and conditions.

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