DWB Travel Group Panamá
Email address *
Registration Form
Registration Date *
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YYYY
Payment Date *
MM
/
DD
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YYYY
Name(s) *
Your answer
Surname *
Your answer
Country where you live *
Your answer
Passport number *
Your answer
Nationality of your passport *
(Please check with the embassy of Panama if you need a visa)
Your answer
Gender *
Telephone *
(Include country code)
Your answer
Restrictions on meals *
Do you have any special needs?
(Handicapped, health condition or any other you wish to communicate)
Your answer
Any additional comment?
Your answer
About your travel companions
(Please note that your fellow travelers must send their own registration forms)
Full name of the people you travel with
Your answer
Specify if any of these people is your partner
Indicate if you are traveling with children and their ages and gender
Your answer
Your flight information
Arrival date *
MM
/
DD
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YYYY
Arrival time *
Time
:
Flight number *
Your answer
Airline name *
Your answer
Departure date *
MM
/
DD
/
YYYY
Departure time *
Time
:
Flight number *
Your answer
Airline name *
Your answer
A copy of your responses will be emailed to the address you provided.
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