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Name of the Package
  Personal Details
  
Salutation
  
Name of Passenger / Group. *
  
E-mail ID to Contact *
  
Phone (Include Country/Area Code) *
  
Office Phone (Include Country/Area   Code)
  
Mobile
  
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Suggest Prefered or Interested places of visit *
Alappuzha
Munnar
Kovalam
Kumarakom
Thekkady
Cochin
Wayanad
Vagamon
Idukki
Thenmala
Kollam
Varkala
  
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Approximate Date of Departure *
  
Mode of Arrival
  
Arriving From
  
Departing To
  
Total No of Persons Travelling
 Adults
 Children below 5 Years
 Children between 5 to 12 Years
  
Type of Hotel
Star  Budget
  
Daily budget per person in US $ *
  
Number of Rooms
  
Extra Beds
  
Type of Vehicle for Transportation
Luxury  A/C  Non A/C
  
Guide Required
  
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