SACRED INDIA PARTICIPANTS

Please fill out this form and return as soon as you can.

Full name as listed on passport

First Name

Last Name

Phone

(###)

###

####

Gender

Emergency Contact

Name, Email & Phone Number

Arrival Date

YYYY

Arrival Flight

Include airline, number & arrival time

Departure Date

YYYY

Departing Flight

Include airline, number & departure time

Extra nights before the pilgrimage?

If you are arriving prior to morning of Dec. 31st and would like Yusuf to arrange a hotel, how many nights and which nights?

Extra nights after the pilgrimage?

If you would like to stay in Madurai after our final day on Jan. 13th and would like Yusuf to arrange a hotel, how many nights and which nights?

Airport Transfer - Arrival

Do you want an airport shuttle arranged for you from arrival in Chennai to our hotel in Mahabalipuram? (The price of transfer will depend on how many others are coming in at the same time, from $20 to $80. We will let you know as we collect everyone’s info.)

Yes

Airport Transfer - Departure

Do you want an airport shuttle arranged for you from from Madurai hotel to Madurai airport on the final day of trip? (The price of transfer will depend on how many others are coming in at the same time, from $12 to $45. We will let you know as we collect everyone’s info.)

Yes

Occupancy

Occupancy is double, however if you would like to upgrade to a single room for an additional fee of $900, please let us know now

Yes

Roommate Request

If so, whom?

Any physical limitations or special needs you’d like us to know about?