EmailMe Form - Calculation request form

First name *

Surname *

Email *

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

I am interested in *

17-day respiratory care and pulmonary rehabilitation holiday

7-day respiratory health holiday

You may tick both boxes if you still have not decided whether you wish to go on a 17-day respiratory care and pulmonary rehabilitation holiday or 7-day respiratory health holiday.
We will send you price calculation for both options.

When do you plan
on going on your
respiratory
holiday? *

as soon as possible

this year (2011) but I have not decided yet when to go

next year (2012) but I have not decided yet when to go

I do not know yet

I have already decided which tour I want to go on

Please give us your chosen tour dates
(i.e. 07-24 November 2011)

Please tell us what kind of respiratory system disorder would you like to cure? This will help us to assess if respiratory care and pulmonary rehabilitation holiday is suitable for your needs.

Please tell us how many people wish to benefit from respiratory care and pulmonary rehabilitation holiday at the Wieliczka Salt Mine

Adults

Children

Please note respiratory care and pulmonary rehabilitation holiday is suitable for children over 4 years old. Children up to 14 years old should be accompanied by an adult

ACCOMMODATION

We offer full board accommodation in a luxury 4 star Wieliczka Salt Mine hotel situated within picturesque surroundings of the St. Kinga’s Park and close walking distance to the Wieliczka Salt Mine. Please state the type of room you would require as well as its quantity.

single room(s)

double room(s)

twin room(s)

triple room(s)

FLIGHTS

Separate to the main respiratory care and pulmonary rehabilitation holiday package we offer FREE RETURN FLIGHTS from your chosen UK airport to the Balice airport in Krakow (Cracow) in Poland.

Please tick your preferred UK airport you wish to fly from.

TRANSFERS

Return transfers from Balice airport in Krakow (Cracow) to a luxury 4 star Wieliczka Salt Mine hotel are automatically included in the package.

ADDITIONAL INFORMATION

If you wish to provide us with any additional information please use the box below

Special requests