Flight Information

Dear Participant,
Each participant will be responsible for arranging their own flights. Please fill out the following flight information and submit at your earliest convenience, to guarantee that private transportation is arranged on a timely manner from the (GDL) airport to the hotel and from the hotel to the (GDL) airport.

Surgical Request - Flight Information

ARRIVAL INFORMATION
Course Date*
Arrival Date
MM slash DD slash YYYY
Information on the final leg of the flight.
Airline
Flight Number
From
To
Departure Time

: Hours

Minutes

AM/PM
Arrival Time

: Hours

Minutes

AM/PM
DEPARTURE INFORMATION
Departure Date
MM slash DD slash YYYY
Airline
Flight Number
From
To
Departure Time

: Hours

Minutes

AM/PM
Arrival Time

: Hours

Minutes

AM/PM
Participants
Name*
First Last
License Number*
State/Country where it is valid License*
License expiration date*
MM slash DD slash YYYY
Email*
Phone
Any allergies latex or food restriction
CAPTCHA
Post Custom Field
Phone
This field is for validation purposes and should be left unchanged.

Flight Information

Surgical Request - Flight Information

ARRIVAL INFORMATION

Information on the final leg of the flight.

DEPARTURE INFORMATION

Participants