MEKHALA CRUISE
Reservation Form
Personal Information
Important!!
Please furnish full name
Title Name:
Mr.
Mrs.
Miss.
First Name:
Family Name:
Important!!
Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
*
( Correspondence E-mail address)
E-mail Address :
( Second e-mail address,if any )
Telephone No :
Fax No:
Passport No :
Company Name :
(if applicable)
Correspondence Address :
Country :
Nationality :
*
Reservation Details
Types of Tour Required :
Please Select
Programme I
Programme II
*
Number of packages tour required :
1
2
3
4
5
6
Indicate here if more than 1 type of tours are required
Tour to begin on :
Pick up from which hotel :
Flight Information
Flight name and no. (Arrival) :
Time of Arrival :
Flight name and no.(Departure) :
Time of Departure :
Preferred payment method :
Pls select
By Visa Card
By Master Card
By JCB Card
By AMEX Card
By Telegraphic Transfer
Indicate here for any special instruction for pick up, etc.
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