PPG – 30 Days (USD 20)_old

INCLUDING 30 Day Rescue.co Air & Ground Medivac

First Name

Surname

Date of Birth (YYYY-MM-DD)

Phone

Kenyan Citizen/Resident/Tourist

Nationality

Motor Name / Glider Name

Type of license / Total flying hours

Paypal / Mpesa Payment Code

Payment Methods:

PAYPAL: USD 25 to: skyremyservices@gmail.com (incl. PAYPAL fees)

MPESA: USD 20 to KSH: Today’s Exchange Rate

Business Nr: 516600 Account Nr.: 445622

Type in the Paypal / Mpesa Payment Confirmation Code above.

EVISA No. (Required for tourist)

Next of kin

Dates of Flying & Locations

Rescue.co are the most reliable fast response Medivac provider in Kenya and support Paragliding and High Altitude Sports.

If you have any issues submitting the form, or haven’t received confirmation please reach out on WhatsApp: https://chat.whatsapp.com/DlC7PVaDlTnF41bA60x3Db

Or +254 704 913791