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INQUIRY FORM
Your Name
1.1 Patient’s Full Name
1.2 Gender
1.3 Date of Birth
1.4 Age
1.5 Country
2.1 Email address
2.2 Cell Phone number
2.3 Home address
2.4 Occupation
2.5 Phone number
2.6 Work address
3.1 Are you interested in any of our proposals?
* Please attach at least two (2) photos of your current condition (where applies)
3.2 Required medical procedure
3.3 Present medical/health condition *
3.4 Provide details in relation to your inquiry
3.5 Estimate the cost of the medical procedure?
From € To €
3.6 Which are your post-procedure expectations?
Select/complete the fields of services you are interested for.
4.1 Air ticket
If Yes, please compete:
Dates:
Country & City: From/To (please indicate origin/return airport):
4.2 Accommodation
If you are travelling with companion(s), please complete section 4.4.
If Yes, please select:
Category of hotel or type of property:
Duration of Stay: (nights)
Basis
4.3 Airport transfers (return: airport-hotel-airport)
4.4 Number of companions: ….. / Full Names:
1.
2.
3.
Relation
Accommodation
Sharing a double room (with patient)
Single room
Other:
(please complete)
FNL CUP 2018, CYPRUS 10 - 23 February 2018 PAPHOS
More Info »
FNL CUP 2017, CYPRUS 11 - 24 February 2017 LARNAKA
Overseas Medical Treatment & Wellness Exhibition
Special air fares and mobility conditions for patients and companions!
Request quotation for your medical trip in Cyprus!
Complimentary weekly activities for guests staying in Hotels within Larnaka Region!
Health & Wellness! Our assistance to your medical trip to Cyprus!
Held in Larnaca, Cyprus between 4 & 6 July 2012
Practice, improve your skills, enjoy and relax in beautiful surroundings.
Celebrate your love for each other with an once in a lifetime experience
10-20 February 2012 Announcing the organisation of the 1st FNL Tournamnet in Cyprus
02 & 03 March 2012 at Hilton Park Hotel, Nicosia, Cyprus
We proudly welcome Football Clubs from Russia and Romania for their training in Cyprus.