Aircraft:

Select one Light Jet Medium Jet Heavy Jet Airliner Turbo Prop Helicopter Best Available

*Passengers:

Trip Type:

One way Return Multi-leg

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*Description of Cargo:
(eg Mechanical Part, Food etc ...)  

*Dangerous Goods:

Yes No
  Dangerous Goods Defined

*Weight (kgs):

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*Number of Patients:

*Number of Passengers Accompanying:

*Condition of Patient(s):

*Patient(s) medically cleared to fly:

Yes No

*Patient(s) able to walk:

Yes No

*Ambulance Transfer required:

Yes No

*Special Equipment Required:
(eg ICU, Oxygen etc ...)  

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