| Name |
|
| E-mail |
|
| No of rooms |
|
| No. of Adults |
No. of Children
|
Ages
of Children
|
| Arrival Date |
|
Departure Date |
| Complementry Airport Transfers
|
Arrival
Flight #
|
Time
|
| Depature
Flight #
|
Time
|
| Basis |
|
| |
| Special Requests |
Guided Tours |
|
Temples Visits |
Folklore Museum |
Tea Factory |
| Dutch City of Galle |
Wild Life Safari |
River Boat Safari |
| Walking in the village |
Cycling |
|
| |
| Preffered Type of Treatment |
|
Ayruvadic |
Homeopathy |
Accupuncture |
| |
| Treatment for |
|
Herbal Inhalation |
Herbal oil therapy - Head |
Energizing of vital forces
|
|
Energizing of vital forces |
Special full body oil treatment |
Head Massage |
|
Herbal Seed Therapy |
Facial treatment with Massage |
|
| |
| Other Services |
|
Seminars |
Conferrences |
Presentations |
|
Wheel chair |
Full time Nurse |
Full time Chauffeured |
|
Vehicle |
Health Checkups |
Daily Body Massage |
|
Daily Head Massage |
Introduction to Meditation |
Introduction to Culinay |
|
Introduction to Spices |
Introduction to Gems |
Translator Service |
| |
| Food Prefference |
|
Health Food |
Sea Food |
Vegetarian Meals |
|
Non-Dairy Meals |
Other |
|
|
|
|
| |
|
|
|