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MEDITATION AND YOGA RETREAT, WANGAT LODGE

CHEQUE PAYMENT - BOOKING FORM

I would like to book  places on the MEDITATION AND YOGA RETREAT MAY 2008
I would like to book  places on the MEDITATION AND YOGA RETREAT SEPTEMBER 2008

Total cost: $ (AUD)

Please make the booking in the following name 


      NAME:         
      ADDRESS:   
                         
      POSTCODE:       COUNTRY:  
      PHONE:       
      EMAIL:        

      YOGA EXPERIENCE AND SPECIFIC YOGA/MEDITATION INTERESTS:

                      _______________________________________________________________

                      _______________________________________________________________


      SPECIAL DIETARY REQUIREMENTS:

                      _______________________________________________________________

                      _______________________________________________________________

Please print and complete the above order and make cheque payable to Karen Nicoll.

Please post the order and cheque to
KAREN NICOLL
52 CHATHAM STREET
HAMILTON  NSW  2303  AUSTRALIA

OR

click here if you've decided to pay using a credit card

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