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First Name: *
Last Name: *
Date Of Birth (dd/mm/yyy): *
Email Address: *
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Select your TMA Member Location?
Have You Been To This Location Before?
If yes, approx what year?
Preferred Appointment:
Destination/s:
Departure Date (dd/mm/yyy):
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If travelling for work, do you require any particular forms or paperwork to be completed as a result of your visit?
Number Of Persons For Appointment:
Names Of Extra Persons:
Dates Of Birth (dd/mm/yyy):
Anyone under 12 yrs coming to the appt?
How did you find out about the Travel Medicine Alliance?
Comments:

Arriving at each new city, the traveler finds again a past of his that he did not know he had: the foreignness of what you no longer are or no longer possess lies in wait for you in foreign, unpossessed places.

- Italo Calvino - "Invisible Cities"

Remember that happiness is a way of travel, not a destination.

- Roy Goodman

Travel Health Information

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