Yoga retreats booking

Heather Elton Retreat in Goa

Please complete this booking form and submit it along with your payment for the course.

Please make deposit or full payment here and then return to complete booking form.

Payment page will open in separate window making it easy to return here.

(No place is guaranteed until full payment is received - please also read terms of cancellation )

Booking for Spain and/or Goa retreats

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Business Phone

Fax

I want to book:*
I want to book:*

How many places?*
How many places?*

PLEASE check boxes to acknowledge:*
PLEASE check boxes to acknowledge:*

That a place is only confirmed on full payment

I have:*
I have:*

read the conditions of cancellation as displayed on the Heather Elton page

I have:*
I have:*

	paid deposit as directed above and acknowledge that this is non-refundable
	Not paid deposit - realising that no place can be reserved until it is

I wish to subscribe to the Yoga-ez Newsletter*
I wish to subscribe to the Yoga-ez Newsletter*

	Now please
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