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Customer's informations

You are :

The customer

The customer's representative

Mr ou Mrs First Name and Last Name :

Postal address :

Postal code :

Municipality :

E-mail :

Phone number :

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Identity of the professionals

Please fill at least one professional :

Name of the professional n°1 :

City :

Name of the professional N°2 :

City :

Name of the professional n°3 :

City :

Name of the professional n°4 :

Type of professional (agency, tour operating, airline company) :

City :

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Informations about the travel

Destination country

Departure date :

Return date (optional) :

Price :

Number of participants in the contract :

Your purchase was made :

Type of travel :

Other (please specify) :

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Nature of the litigation and description

Your request

Explanations :

You wish to obtain :

You already obtained :

Other (please specify) :

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AND SUMMARY OF THE CONDITIONS OF ADMISSIBILITY

The litigation has been subject of a prior written referral to the professional(s).
The claim was made less than a year ago.
The sending of a complete file (please refer to the documents quoted).
The litigation involves a professional sucriber of the MTV Charter.

Documents to imperatively join to your file :

Copy of the prior written referral to the professional involved

Contract, registration form, brochure, ticket

letter summarizing the facts

Additional documents (optional) :

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