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Lotus Flower
BOOKING FORM 
for Come To Your Senses Retreat
Shelley Kenigsberg
in BALI 2023 
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Ready to book?

Thank you for deciding to join Shelley and me on retreat in Bali in 2023.

Please fill in this form and payment details will be forwarded shortly.
EARLY BIRD BOOKING is open until January 30, 2023 - save $200
Places are strictly limited.

 

Congratulations!

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WHICH RETREAT ARE YOU BOOKING FOR?
Is this number on whats app?
WHICH HOTEL ?   - check the hotel choices here 

WHICH ROOM TYPE DO YOU WANT? - refer to the accommodation options on the retreat information page here 

DO YOU WANT TO BOOK EXTRA NIGHTS? 

YOUR DEPOSIT will be PAYABLE once Anna receives this form and confirms availability - you do not pay now
DEPOSIT is  USD $400 PER PARTICIPANT  (not per room )
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Your payment will be made to 'Creative Living Retreats by Anna Kwiecinska', organising this retreat with Shelley Kenigsberg

You will receive a receipt for your payment from Anna Kwiecinska, which is refundable according to the Terms and Conditions 

COVID-RELATED CANCELATIONS: your deposit is fully refundable and fully transferable to any another Creative Living Retreat and can also be transferred to another person of your choosing.

Please don't hesitate to be in touch with Anna if you have any queries at all, but please note that I may be unable to reply immediately whilst travelling - this will not affect your booking or order of enquiry should there be more bookings than places.

Reach me

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