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Full Name

Email Address

Phone Number

Nationality

Date of Birth

Gender Male: Female:

Passport Information if applicable

Passport Number

Date of Issue

Date of Expiry

Country of Issue

Travel Details

Desired Travel Dates:

Arrival Date:

Departure Date

Duration of Stay in nights

Number of Travelers

Accommodation Preferences

Other Please Specify

Room Preferences:

Room Preference

Any Specific Accommodation Requests

Interests/Activities (Check all that apply)

Cultural Tours Adventure Activities (hiking, safari, etc) Culinary Experiences Beach Relaxation Shopping Nightlife Local Festivals/Events

Other Please Specify

Dietary Restrictions or Preference

Mobility Needs or Special Requests

Preferred Mode of Transportation in Accra

Additional Information:

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