CLIENT BOOKING FORM

OFFICE NAME: COUTNRY VACATIONS GOA DATE:

NAME: AGE:
WIFE NAME: AGE:
DETAILS OF THE CHILDREN: AGE:
ADDRESS: MEMBER /NON MEMBER(Y/N):
NON
PHONE NUMBER: (1) (2) (3)
EMAIL ID:
PROFESSION: INCOME PER MONTH: 7!"""/# TO
1!""!"""/#
CREDIT CARD DETAILS (GOLD/
PLATINUM):
ABOVE 1 LAC
NO$ OF PA%:&A'&K
LOCATION:
BOOKING DATE: CHECKIN CHECKOUT
1$ 1$
2$ 2$
3$ 3$
TRAVELLING BY: FLIGHT RAIL BUS CAR
HAVE YOU ATTENDED SIMILAR RESORT INSPECTION PROMOTIONS BEFORE(YES/NO):
I AGREE TO ATTEND 1 HOUR PROMOTIONAL PROGRAM AT THE RSORT(YES/NO):
TELE MARKETING E%ECUTIVE: TEAM LEADER:
TELE MANAGER: AUTHORISED BY:
BOOKING FEES DEPOSITED ON: CONFIRMATION SENT ON:
RE#CONFIRMED BY: SIGN:
REMARKS: