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Fax form

To book a provisional reservation please print and fax your flight requirements to the following number: 00237 3342 79 58

Personal details:

First Name____________________________            Surname_____________________________

Date of birth _______/_________/_________                                       

Phone number_________________________            Mobile number_________________________
 
Home address_____________________________________________________

City_____________________________________________________________

Business address__________________________________________________

City_____________________________________________________________

Email address_____________________________________________________

 
Travel details

Flight destination_______________________________________________________

Date of travel_____________________________________________________


Other traveller details

¹First Name____________________________            Surname_____________________________

Date of birth _______/_________/_________
 
²First Name____________________________            Surname_____________________________

Date of birth _______/_________/_________

³First Name____________________________            Surname_____________________________

Date of birth _______/_________/_________

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                   ________________________________________________________

                         Address: Boulevard de la Liberte, Behind Pharmacie du Centre, Akwa Douala, BP 13113 Douala
                                                                                                           www.elysianairlines.com