milk_shake Ibiza Booking Form

VIEW THE FULL BROCHURE

Salon Name

Required

Salon Postcode

Required

Lead Passenger Full Name (must match passport)

Required

Mobile Number to Confirm Booking and Take Payment*

Required

Email Address

Required

Date of Birth

Required

Nationality

Required

Passport Number

Required

Passport Expiry Date

Required

Home Address

Required

Town/City

Required

Postcode

Required

Please let us know if you have any dietary requirements

Required

Passenger 2 Full Name (must match passport)

Email Address

Mobile Number

Date of Birth

Nationality

Passport Number

Passport Expiry Date

Home Address

Town/City

Postcode

Please let us know if you have any dietary requirements

If you selected sales rep, please tell us their name below

Please tick to confirm the below:

yes , I give my permission for you to share my details with my local milk_shake distributors

yes , I am over 16 years old and live in the UK or Ireland and would like to receive information on milk_shake Education, upcoming events, products and special offers

Required

Thank you for submitting your form! A member of the team will be in touch with you soon.

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