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-
  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