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* 1. Full name

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* 2. Email

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* 3. Phone number

If you are booking for two people, please enter the second guests details below

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* 4. Full name

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* 5. Email & Phone number

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* 6. Have you been on a yoga retreat before? How did you find out about this retreat?

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* 7. Please let us know any medical conditions or dietary requirements you would like us to be aware of at this stage

A deposit of £200pp is required to secure your place. This is payable to: Rebecca Jones 
Sort code: 04-00-04
Account number: 32441201

Please use the reference ‘RechargeReset’ followed by your initials.

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* 8. Have you paid the deposit?

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