What's your name? *

First and last name
 
{{answer_27717849}}, welcome to A million senses.

Which country are you from?

 
What is your phone number? 


Please include your country's code
 
Do you prefer AMS contacting you via: *


 
Are you: *


 
How many persons are travelling in total? *

 
How many adults? *

 
How many children? *

 
How many persons in the autism spectrum? *

 
What is the age of persons with ASD? *

Divide with ,
 
What is the age of the other children?

Divide with ,
 
Write a short profile for the persons in the autism spectrum *

 
What is his/her favorite hobby or activity? *

 
A million senses has amazing autism friendly holiday programs for 2017. I would like to participate in... *


 
You wish to travel from: *

Ignore if you have not decided yet, or if you already chose a program!
 
To: *

 
Which location in Greece do you wish to visit?

 
In this location: *


 
What type of accomodation do you prefer?


 
How do you prefer your accommodation style?


 
Please provide an estimated holiday budget per person/per night *

The offer you receive will include accommodation cost, based on your preferences stated above, and 6 hours of recreational activities for the member with ASD by autism professionals.
 
Give us some additional useful information and other special inquires you might have

 
{{answer_27717849}}, thank you for your time to fill in the form. Within the next few days you will receive a holiday proposal by a member of the A million senses team!

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