Individual Contract Order

Individual Contract Order No. … / June …, 2024

[contact-form to=”luxeven@azzurytt.com”][contact-field label=”First name” type=”name” required=”1″][contact-field label=”Last name” type=”name” required=”1″][contact-field label=”Full address (street, number, city, county, postal code, country)” type=”text” required=”1″][contact-field label=”Phone (00 – Country Code – Phone Number)” type=”text” required=”1″][contact-field label=”E-mail” type=”email” required=”1″][contact-field label=”Passport country code / ID card series (for Romanians)” type=”text” required=”1″][contact-field label=”Passport number / ID card number (for Romanians)” type=”text” required=”1″][contact-field label=”Preferred payment method” type=”checkbox-multiple” required=”1″ options=”Secured payment link via Stripe (card processing fees: 3.3%),Bank transfer”][contact-field label=”Preferred currency: EUR / USD / Other (kindly specify)” type=”text” required=”1″ options=”EUR,USD”][contact-field label=”By using this form I agree that Azzurytt may store and process my data according to their Privacy Policy which I accept” type=”checkbox” required=”1″][/contact-form]

By clicking Submit

I hereby duly warrant, on behalf of myself and others availing the services bought by me, under penalties of perjury, that:

• I have read, agree and accept the:
• • General Terms and Conditions & Privacy Policy
  • FOR TRAVEL SERVICES: relevant webpages (FAQ, etc.) and itinerary and customized offer (received online)
• I have the authority to enter into the present contract and
• all information submitted in this form is true, complete and correct.

Thank you !
Azzurytt