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FORMULAIRE
NAME			FIRST NAME

TELEPHONE			MOBILE
EMAIL			FAX

NUMBER OF PASSENGERS			ADULTE
			CHILD (- 12 ans)
NAME OF PASSENGERS

FLIGHT NUMBER
AIRLINE COMPANY
DEPARTURE / ARRIVAL			ARRIVAL / DEPARTURE TIME
ORIGIN / DESTINATION

HELICOPTERE :
DATE OF DEPARTURE			DEPARTURE TIME
DESTINATION			OTHER DESTINATION
HELICOPTERE TYPE

REMARKS