Thailand Re-TREAT Week: September 2022 : Booking Form

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Complete this form to register for this week retreat with Imogen North in Koh Samui Thailand 24-30 September 2022 @ Samahita Retreat Centre. Once Imogen has receive your booking form she will email you with payment details.

If you are coming with a friend of family member please complete one form per person.

Name *

Email *

Phone Number *

If coming with friends, family, partner please specify their name here: *

What room would you like to book?

Loft Rooms : Split level room, with two queen beds, shared bathroom.

Private Room : Couple

Private Room : Single

Semi-Private Room : Two private rooms with two queen beds shared bathroom.

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About your practice - Is there anything Imogen should know about your practice (e.g., injuries or medical conditions) *

Is there anything else you would like Imogen to know ahead of the retreat?

Place are allocated on a first come first basis.

Imogen will be sending you a confirmation email to acknowledge & confirm your booking. Please make payment through bank transfer (details will be on the email) - once she has received payment your place will be secure. If you have any questions in the meantime please email Imogen on imogen@lunalondonyoga.com.

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