0777 221 5366 debra3ps@gmail.com

Booking Form

Booking Form

Breathe Life Into Your Relationships

2 day Retreat Weekend Fri 24 to Sun 26 July 2015

 

Name:                                                                                                  

 

Address:                                                                                               

 

                                                                                                            

 

Telephone: landline                           mobile                                                    

 

E-mail:                                                                                                

 

I would like to book ( ) place(s) on the weekend.

Additional names to the one above:

…………………………………………………………………………………………………..

 

Catering for the weekend will be mainly vegetarian,

Please indicate if you have any special dietary requirements……………………………………………………………………………

Accommodation is based on two people sharing, single occupancy

can be organised by arrangement.

Signature:                                                                                            

Date:                                                                                                    

 

 

 

 

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