Scindhia Guest House Reservation Form Peace be with you. Thank you, in advance, for making a Reservation at Scindhia Guest House. Thank you. Today's Date (DD/MM/YYYY): Last Name: First Name: Nationality: E-mail address: Please re-enter for accuracy check: E-mail address: (We must have a working and accurate e-mail address to process this Reservation. Please check your e-mail address for written accuracy. Thank you.) Mobile No.: ARRIVAL DATE: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2013 2014 2015 DEPARTURE DATE: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2013 2014 2015 Nationality: Room Selection: SUPER DELUXE AC ROOM (INR 3935 Single; INR 6746 Double) (To deselect, click "0 Room".) 0 Room 1 Room (SINGLE) 1 Room (DOUBLE) 2 Rooms (SINGLE) 2 Rooms (DOUBLE) 3 Rooms (SINGLE) 3 Rooms (DOUBLE) DELUXE AC ROOM (INR 2248 Single; INR 3373 Double) (To deselect, click "0 Room".) 0 Room 1 Room (SINGLE) 1 Room (DOUBLE) 2 Rooms (SINGLE) 2 Rooms (DOUBLE) 3 Rooms (SINGLE) 3 Rooms (DOUBLE) Pick-Up Information: Do you wished us to meet you and take you to our guest house? YES NO If YES, please give the number of people arriving with you: If YES, will you arrive by train? YES NO Train Number: Scheduled Time of Arrival: If YES, will you arrive by plane? YES NO Flight Number: Scheduled Time of Arrival: Please enter any other information: (If possible) Please PRINT this form for your records prior to clicking Submit Scindhia Guest House Scindhia Ghat, next to Manikarnika (Burning) Ghat Varanasi-221001, India Phone: +91 - 0542 - 2420319, - 2393446; Mobile: +91 - 98392-23251 e-mail: skbarman@scindhiaguesthouse.com Page URL: http://www.inkashi.com/sgh/sgh07.html Copyright © 2004-2013 Scindhia Guest House except WRAP, Form=Name