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mobility questionnaire - Princess

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Title First name Middle name Last name Suffix Sail date Ship name Stateroom Category Booking# Embarkation port Disembarkation portPlease list any additional mobility equipment you will be bringing to travel with ( hoist, portable commode, etc.)___________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ______________________________

24305 Town Center Drive, Santa Clarita, CA 91355 Email: accessofficeprincess@princesscruises.com Fax: 661-284-4408 Note: At ports where a tender is used, wheelchair/scooter access is limited and disembarkation is at the discretion of the Captain.

  Town, Princess

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