Keraleeyam Lake Side Ayurvedic Health Centre, Alleppey, Kerala, India

Name
E-mail
Telephone	(Include Country Code and Area Code)
Fax	(Include Country Code and Area Code)
Address

Pupose of Visit /Interested in:
	Stay and dine
	Ayurvedic Massage / Therappy
	Entertainment / Site seeing only
	Seasonal attraction

Arrival Date
Depature Date
Stay Length	Nights

Mode of Arrival	Air Rail Road
Airport pickup	Yes No

Place of Arrival	Cochin International Airport
	Trivandrum International Airport
	Cochin Railway station
	Alleppey Railway Station
	Alleppey Bus Station
	Directly at Keraleeyam

No. of Guests	Male Female Children
Room Preferences	A/c Room Non A/c Room
	A/c Lakeview Cottage Non A/c Lakeview Cottage

Food Preferences	Vegetarian Non Vegetarian Traditional (Indian)
	Continental Chinese
Special Requests (if any)

Reservation Form