Special Assistance Request Form ( Airport Wheelchair )

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♿ Airport Wheelchair Request

For wheelchair assistance at the airports only – not for the ground trip.
For group bookings only. If you booked your own ticket, please request it directly with your airline.

Your group * First and last name (as in passport) * Serial # (if you know it) Wheelchair type * WCHRCan walk a short way and climb stairs; needs help over long distances WCHSCan walk a short way, but cannot use stairs WCHCCannot walk any distance; needs the aisle chair to board WCOBNeeds an aisle wheelchair on board during the flight Are you bringing your own wheelchair? * No, I am not bringing my own wheelchair WCMPYes – manual wheelchair WCBDYes – battery wheelchair (dry cell) WCBWYes – battery wheelchair (wet cell) Which flights? *

Going Return Both (going and return)

Will you also need a wheelchair for Tawaf and Sa'i? *
(extra charge – we will contact you)

Yes No

WhatsApp number * Email (optional) Anything else we should know? (optional)

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