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Departure Date
*
I'm Flexible on the Date
Yes
No
Number of Nights
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Number of Adults
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Traveling with Children?
Yes
No
Type of Travel
Luxury Panchakarma, Ayurveda & Yoga
Medical Panchakarma
Relax and Rejuvenate, Ayurveda & Yoga
Other Services Needed
Unique Experiences
Tour Guide
Post or Pre-Panchakarma Stays
Airport pickup and drop
Per Person Budget for Entire Trip
$7,000-$12,000 + / Above INR 6,00,000
$3,000-$7,000 / Upto INR 5,80,000
Less than $3,000 / INR 2,50,000
Short Stay, under $1000 / INR 80,000
What are your Health Goals?
Name
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Email Address
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Phone Number
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Country of Residence
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COVID Vaccination Status
Yes, fully Vaccinated
Partially Vaccinated
Not Vaccinated
I understand the risks of traveling without vaccination
*
I agree to Ayurgamaya's
terms and conditions
and
privacy policy
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