Booking

First Name	*
Surname	*
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Mail Address:
How Long Have You Practised Yoga?
Date of Birth:
Class Currently Attending:	BeginnersMore Advanced
Town:
Teacher:
Therapy	Massage $30  Vibrational Healing $30
Which retreat are you registering for?	Opening Your Heart Yoga & Meditation RetreatConnecting Cultures Eco Retreat for Women
Rate:	Opening Your Heart Retreat: Full $315Opening Your Heart Retreat: Concession $295Connecting Cultures Eco Retreat for Women: $550Connecting Cultures Eco Retreat for Women: Bring a Friend rate $520Connecting Cultures Eco Retreat for Women: Group booking 3 or more $510
Payment Sent:	Deposit ($100)  Full Payment
Dietary Requirements / Special Needs:

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Map

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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

You can pay Direct Debit into the Bendigo Bank -
BSB 633-000
Acc No.134068014
Acc. Wellsford Forest Retreat Business Cheque Account

A receipt, information and map will be sent to you.
For more information phone