Basic Data sheet
*
Name :
Age :
*
Sex :
Full Postal Address :
Postal Code or Zip :
*
Country :
Telephone :
Fax :
*
E-Mail :
Holidays planned from :
to :
Will be accompanied by :
Name
Age
Sex
(a)
(b)
(c)
(d)
Arriving on
and returning on
Please tick off your preferences :
Leisure
Beaches
Back-Water Resorts
Sight seeing
Back-Water safari
Catamaran safari into sea with fishermen
Pilgrimage to temples/Churches
Stay in houseboat
Soft Adventure
Wild life safari
Forest camps
Trekking
Jungle lore
Nature cure
Ayurvedic treatment
Accommodation :
Luxury Hotels
Heritage resorts
Backwater resorts
Forest Huts
Tree top huts
House boats
Cave houses
Log houses
With local families
Transport :
Air Conditioned Car
Non Air Conditioned Car
Mini - Coach
Food :
Continental
Mughalai
Local Fares
Vegetarian
Non-vegetarian
Liquor :
Whisky
Brandy
Gin
Beer
Wine
Soft drinks :
Coke
Tinned fruit juices
Pepsi
Fresh fruit juices
Planned Budget per head per day :
US$
Rs.
(This will help us to match your expectations with our service and price.)
Special Requirements :