Request(s) for MediBen Reunion 2025 Please enable JavaScript in your browser to complete this form.First & Last Name *FirstLastEmail Address *Phone # (WhatsApp preferred) *Arrival at a Nigerian AirportWant VIP airport protocol upon ARRIVAL? *YesNoHow many Travelers are Arriving (including yourself)?Airline for Arrival?Air PeaceAir PeaceDeltaBritish AirwaysUnited AirlinesVirgin AtlanticAir FranceOtherARRIVAL Airport?VIP protocol service at Lagos Airport ($40/person)VIP protocol service at Abuja Airport ($40/person)VIP protocol service at Other Airport ($ upon request)Other Airline Name?What is location of the "Other Airport"?Airline Arrival Date & Time?DateTimeDo you need ENTRY Visa(s)? *YesNoHow many Travelers need Entry Visa(s)?What is Nationality per Traveler needing an Entry Visa?Want road travel FROM airport TO residence on ARRIVAL? *YesNoRoad travel cost depends on residence location. Choose your residence location at arrival.From Lagos airport to Lagos residence ($155)From Abuja airport to Abuja residence ($75)Other ($ upon request)Specify "Other"Want cash on arrival at Lagos Airport? ₦50,000 maximum. (Only available at LOS airport) *YesNoHow much cash should we provide to you upon your arrival at MMA? (Surcharge free)₦10,000₦20,000₦30,000₦40,000₦50,000Departure via a Nigerian AirportWant VIP airport protocol for DEPARTURE? *YesNoDEPARTURE AirportVIP protocol service at Lagos Airport ($40/person)VIP protocol service at Abuja Airport ($40/person)VIP protocol service at Other Airport ($ upon request)How many Travelers are Departing (including yourself)?What is location of the "Other Airport"?Airline for Departure? Air PeaceAir PeaceDeltaBritish AirwaysUnited AirlinesVirgin AtlanticAir FranceOtherDEPARTING Airline Date & TimeDateTimeWant road travel FROM residence TO airport for DEPARTURE? *YesNoRoad travel cost depends on residence location. Choose your residence location for departure.From Lagos residence to Lagos airport ($155)From Abuja residence to Abuja airport ($75)Other ($ upon request)Specify "Other"Intracity Car HireWant daily intracity car rental + chauffeur (8 hours max per day)?YesNoType in Dates for Car Rental (with each date on a new line)Where will you be needing the car rental? (8 hours maximum per day)Lagos ($156/day)Abuja ($106/day)Other ($ upon request)Specify "Other"Nigerian Passport (Renewal / Reissue)Need a new Nigerian Passport? You will need to visit Passport office twice with at least 48 hours in-between the two days. *YesNoAlso need National Identification Number (NIN)?YesNoCount of Nigerian Passports needed? DEPARTING Visa(s)? residence Preferred Currency for Payments *Naira (₦) to Providus BankUS Dollars ($) via ZelleBritish Pounds (£) via NatWestCurrency conversions will be done using the Google converter found here Additional Notes or RequestsSubmit
