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Booking

First Name	*
Surname	*
Reply Email	* * (enter twice to ensure your address is entered correctly)

Mail Address:
How Long Have You Practised Yoga?
Date of Birth:
Class Currently Attending:
Town:
Teacher:
Therapy	Massage + $30 Vibrational Patterning + $25
Rate:
Payment Sent:	Deposit ($100) Full Payment
Dietary Requirements / Special Needs:

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Spring Equinox Heart Retreat
September 19th - 21st

Early bird date 26th July – Full payment required.

Bookings Close 5th September- Full payment required

Cancellation policy

Payments are not transferable to other retreats. Cancellations 4 weeks prior to retreat ½ of payment may be withheld if we are unable to replace you. Please note that if cancellation occurs 2 weeks prior to retreat payment may be withheld unless you can get someone to replace you.

Please make cheques payable to

Wellsford Forest Retreat
and send to

565 Napier St White Hills 3550

A receipt, information and map will be sent to you

For more information phone

Cheryl/Shilamurti on 54484121