Name
Age
Gender	Male Female
Address
City
State
Country
Phone
E-mail
Date  of  Arrival	01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 2003 2004 2005 2006 2007 2008 2009 2010
Date  of  Departure	01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 2003 2004 2005 2006 2007 2008 2009 2010
No. of  persons	Adults : Children  :
Choise of Room	Please fill in the figure per room..  Executive Room Rs.1525 for Single Rs.1950 for double Elegance Room Rs.1700 for Single Rs.2000 for Double Gardenia Room Rs.2000 for Single Rs.2500 for Double Suite Room Rs.3500 for Single Rs.3500 for Double
Approx days of  stay
Probable  mode  of  payment	Credit  Card Cash If  any  other  please  specify  below
Flight  name (please select)	- Indian Airlines Jet Airways 3346 Arrival:18:55  Departure:  20:00
I want  the honorary  coach to pick me up !  Yes No