Full name according to the passport *

Date of birth*

Passport number

Passport expiration date

Passport issued by

Phone number *

E-mail address (for travel documents) *

Home address (for train & air taxi bookings):

Flight bonus card (airline company + card number):

Bonus card hotel (hotel company + card number):

Requests regarding flights (e.g. aisle or window space):

Requests regarding hotels:

Requests regarding train (e.g. aisle or window space):

Requests regarding rental car:

Special diet:

Other information (non-confidential):

By returning this form, I hereby agree that Bäckman & Berg AB may save my data for booking purposes. By returning this form, I hereby agree that Bäckman & Berg AB may save my data for booking purposes. I accept the above