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Name: *
Email: *
Phone no:  
Mobile no:*:
Name of the Package, if opted*
Date of Check-in:*
Date of Check-out:*
No. of nights to be stayed:*:
No. of adults (above 5 years)
No. of children (below 5years)
Preference of food (Veg/Non-veg)
Mode of Travel (own car/Train)
Pick up/drop required?
Car needed for local sight seeing?
Additional Information
Bank Details:

A/c Name: Lifecon Marketing Pvt. Ltd.
1. Bank: State Bank of India, Santiniketan Branch, Santiniketan-731235, WB, India. Current Account No. 32387509123,IFS Code- SBIN0002121, Swift Code: SBININBB343, Branch code- 2121
2. Bank: Axis Bank Ltd, Kolkata Main Branch,7 Shakespeare Sarani, Kolkata-700071. Current Account No. 005010200050449 IFS Code- UTIB000005.

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