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Full Name of Person making enquiry: |
* |
Contact Us
Corporate Wings Pty Ltd
Main Offices:
PO Box 3665
Australia Fair QLD 4215
For Account Enquiries
Office Numbers:
Business Hours Only
Phone: +61 7 5531 4922
Fax: +61 7 5531 4055
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| Your
Company or Organisation Name: |
* |
| Are
you a Doctor or Hospital Administrator ? |
Yes
/ No
* |
Insurance Type:
( please select ) |
* |
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Contact Phone Numbers: |
Please list ALL phone contacts including switchboard, extension
numbers, mobile/cell
phone etc, you MUST provide us as many as possible - include
Area and Country Codes.
Phone 1:
*
Phone 2:
Phone 3:
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Email Addresses: |
You MUST provide your email address, the Hospital email
address and the Flight Co-ordinator email address.
Your Email:
*
Hospital Email:
Co-ordinator Email:
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Hospital
Fax Number:
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Fax Number:
*
Area Code:
* Country Code:
* |
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Intended
Flight Details |
From:
*
To:
* |
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Special Requirements |
Do you require
Urgent and Immediate transport?
Yes / No
*
Do you require
medical staff onboard?
Yes / No
* |
| Terms
and Conditions : |
- Except in conditions of
extreme urgency or national emergency we will NOT accept
telephone requests for a flight enquiry.
- You must provide as many
contact details as possible so we can contact you or your shift
supervisor.
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| Our
Contacts : |
This
email request will be automatically forwarded to:
Dick Smart, Operations
Manager, Global Jet, Gold Coast, Australia -
Emergency only phone number:
+61 418 764 853
David Hooton, Chief Pilot,
Corporate Wings, Gold Coast, Australia -
Emergency only phone number:
+61 418 334 254
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|
Please give us Further Details about your Enquiry: |
*
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