Untitled Document

BOOKING REQUEST FORM

Please read carefully and ensure that you fill in all the required details in BLOCK LETTERS.
Illegible/ Incomplete/ Invalid/ Wrongly filled forms will be rejected

All Fields are mandatory

1) Encloseurchad a DD of Rs.798/-(*)
2) Photocopy of your pse invoice to be enclosed
3) Last Date of Submission: 45 days from the date of invoice

4) Valid travel period: Within 6 months from the date of invoice or 14th December 2008 whichever is earlier
5) Ensure that the departure dates are at least 45 days after the date of submitting this form
6) Exclusion Period: 15th May 2008 to 15th June 2008

Customer's Name : Mr./Mrs./Ms. ____________________

Gender : Male Female

Age:

Companion's Name: Mr./Mrs./Ms. ___________________

Gender : Male Female

Age:

Address ___________________________________________________________________________________

__________________________________ City : ___________________________________________________

State______________________ Pin : _______________ E-mail : ____________________________________

Telephone : + 91-

Mobile : + 91-

Please mention your STD Code :

	Please fill the city from where you want to fly:
	From (Please fill from where you want to fly) ______________________(Please check the destination chart)
	TO (Please fill 3 cities to where you want to fly)

	Choice of destination cities (MANDATORY)	Date of Departure (Mandatory)
		(Please give 3 different dates)
	(Please give 3 different destination cities from the destination chart. Your departure city would be the same as specified above.)	(Please maintain, at least 7 days gap between your preferred dates)


	Option 1 __________________________________________________	/ /
	Option 1 __________________________________________________	/ /
	Option 1 __________________________________________________	/ /
	Bank Draft Details : Bank Name _______________________________ Branch : _____________________
	Draft No. ____________________________________________________Date : / /
	(*) Note: A draft of Rs. 798/- favouring Spectramind Marketing Private Limited (payable at New Delhi) has to be sent along with this voucher towards handling charges & airport taxes.
	Please read the terms and conditons of the offer mentioned in the form carefully. Please also read the terms mentioned overleaf.
	I have read the Terms and Conditions of the offer and I accept the same.

	Customer's Signature:_________________________	Date : / /
	Form will be treated as incomplete, if it is not signed.

DESTINATION CHART
Departure City	Destination city	Departure City	Destination city	Departure City	Destination city	Departure City	Destination city
Ahmedabad Ahmedabad Ahmedabad Baghdogra Baghdogra Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Belgaum Belgaum Belgaum Bhubneshwar Bhubneshwar Chandigarh Chandigarh Chennai Chennai Chennai Chennai Chennai Chennai Chennai Chennai Cochin Cochin	Delhi Mumbai Hyderabad Kolkata Guwahati Belgaum Chennai Cochin Coimbatore Delhi Hubli Hyderabad Mangalore Mumbai Pune Tirupati Tivandrum Banglore Hubli Mumbai Kolkata Hyderabad Delhi Jammu Bangalore Coimbatore Hyderabad Mumbai Rajahmundry Tiruchrchirapalli Trivandrum Vijaywada Bangalore Mumbai	Cochin Coimbatore Coimbatore Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Goa Goa Goa Guwahati Guwahati Guwahati Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad	Trivandrum Bangalore Chennai Ahmedabad Amritsar Bangalore Bhopal Chandigarh Dehradun Gwalior Hyderabad Indore Jaipur Jammu Kolkata Lucknow Mumbai Pune Bangalore Hyderabad Mumbai Agartala Dibrugarh Kolkata Ahmedabad Bangalore Chennai Delhi Goa Kolkata	Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Indore Indore Jaipur Jaipur Jaipur Jammu Jammu Jammu Kolkata Kolkata Kolkata Kolkata Kolkata Kolkata Lucknow Lucknow Madurai Madurai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai	Mumbai Nagpur Pune Rajahmundry Tirupati Vijaywada Vizag Delhi Gwalior Delhi Jodhpur Mumbai Chandigarh Delhi Srinagar Baghdogra Delhi Guwahati Hyderabad Mumbai Ranchi Delhi Mumbai Bangalore Chennai Ahmedabad Aurangabad Bangalore Belgaum Bhavnagar Chennai Delhi	Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Patna Patna Pune Pune Pune Rajahmundry Rajahmundry Ranchi Ranchi Tiruchirapalli Tiruchirapalli Tirupati Tirupati Tirupati Trivandrum Trivandrum Trivandrum Vijaywada Vijaywada Vizag Vizag Vizag	Cochin Goa Hyderabad Jaipur Jamnagar Kolhapur Kolkata Nagpur Vadodra Delhi Kolkata Bangalore Delhi Hyderabad Chennai Hyderabad Kolkata Patna Bangalore Chennai Bangalore Hyderabad Vizag Bangalore Chennai Cochin Chennai Hyderabad Chennai Hyderabad Tirupati