Goa
Southern India Tours
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Guest Name :
Email Address : Important, please provide
Telephone No : Fax No:
Company Name (if applicable) :
Correspondence Address
Hotel: Room Type: Single Double Triple Air-Con. Non-AirCon
Place (other than Goa):
If Goa, Location: Vagator / Anjuna - Goa Calangute - Goa Candolim - Goa Baga - Goa Any Other Beach Side Not Particular
Budget per day: (Mention Currency) Hotel Type: Heritage Hotel First Class Deluxe Hotel 5 Star 2 or 3 Star Budget Hotel Ambiance: Quiet Busy Night Life Hippie
Number of rooms required: 1 2 3 4 5 6
Please furnish names of guests for the additional rooms
Arrival (Date) : Departure (Date): Days: Please Note: Minimum hotel booking for stay in Goa is Five Days.
Flight name and number (Arrival) : Time of Arrival :
Flight no.(Departure) : Time of Departure :
Indicate here for any special request