Booking

Please fill up the form given below as complete as possible.

Personal Details
First Name *
Middle Name
Last Name *
Date of Birth *	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Name of other people traveling	seperate each person name with (;)
Phone *		Email*
Leaving City (From)*		Going City (To) *
Trip type	One Way Round Trip
Passengers
Adult (12-65) 0 1 2 3 4 5 6    Senior (65+) 0 1 2 3 4 5 6     Child (2-11) 0 1 2 3 4 5 6     Infants 0 1 2 3 4 5 6
Flight Details
Returning Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32   2013 2014 2015 2016 2017    Departure Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32    2013 2014 2015 2016 2017
Cabin Type	First Business Economy
Prefered Airlines
Flight Details
Comments
Captcha Code

Contact Address

Rakchhya Travels INC
48-49 St ,Suit # 3c
Jackson Height , NY,11385
Email : info@rakshyatravel.com
Web: www.rakshyatravel.com
Phone: 1-646-473-2974 (New York)
              1-469-718-7313 (Texas)
              1-202-595-2119 (Washington DC)

Fax: 1-3475494330

Serving from 3 cities New York, Boston & Texas 

Emergency Contact : BP Poudel  646-764-3816