online reservation form

last name:
first name:
sex:
age:
phone number
email:
address:
city:
state:
zip code:
country:
travel plan :
occupation:


for foreign nationals / non resident indians

passport no:
date of issue
place of issue:
nationality:

accommodation requirments

accommodation required:

no. of people:
date of arrival
date of departure

have you been to kare before


purpose of stay


kare programmes	weight loss arthritis
	age reversal heart disease reversal
	skin diseases stress management
	asthma diabetes

treatments	panchakarma abhyangam
	pizhichil udvarthanam
	chavittiuzhichil dhara
	dhanyamla dhara kizhi
	njavarakizhi marma therapy


please indicate mode of payment:	cash bank draft credit card

other specifications

	Please click to view Terms & Conditions I have read the terms & conditions and agree to abide by them.



	please fill in all columns and mail us, this will help us to advice you correctly on the therapy and indicate costs through our special offer.