Name |
: |
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E-mail |
: |
|
Alternative E-mail |
: |
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City |
: |
|
State |
: |
|
Country |
: |
|
Telephone with Code |
: |
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Mobile |
: |
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Fax |
: |
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| |
Total No.of Tourists |
: |
|
No.Of Adults |
: |
|
No.Of Children |
: |
|
Child / Children Age
|
: |
(If more than one child please specify age of each child, seperated by commas) |
Place of Arrival in Kerala |
: |
Cochin
Trivandrum
Calicut - Other :
|
| Mode of Transport |
|
By Air
By Train
Other |
Date of Arrival |
: |
Time :
|
Place of Departure from Kerala |
: |
Cochin
Trivandrum
Calicut - Other :
|
| Mode of Transport |
|
By Air
By Train
Other |
Date of Departure |
: |
Time :
|
Hotel/Resort
Preferred Tariff |
: |
Below Rs.1500.00
Rs.1501 to 2500
Rs.2501-4000
Rs.4001-7500
Rs.7501-12000
Above Rs.12001 |
| Taxi Requirement |
: |
Yes
No |
| If Yes : Car Type |
|
Preference
|
Comments / Suggestions, If Any
|
: |
|
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