Enquiry form

 

 

name*

 

 

 

address

 

 

 

phone*

 

 

 

email*

 

 

 

date of arrival

 

 

 

date of departure

 

 

 

total number of guests

 

 

 

cot and/or high chair

 

 

 

 

disability

 

 

 

no. of wheelchair users

 

 

 

pool hoist

 

 

 

indoor mobile hoist

 

 

 

shower chair type

 

 

 

air flow mattress (75e/week)

 

 

 

toilet seat raiser

 

 

 

monkey/grab pole for bed

 

 

 

care

 

 

 

home made frozen meals

 

 

 

how did you find us?

 

 

 

other information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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email simon@ouricodomar.com

 

 

 

 

Copyright © Ourico do Mar 2015

 

Rental licence: Alojamento Local Nº 238/12 (Loulé)