HUSTLE Retreats - Oct24 Booking Form
16th October - 22nd October 2024
Please Fill in the Form
A 30% deposit must be made to secure your reservation. Bank details are listed at the bottom of the form.
Name
*
First
Last
Birthdate
*
-
Day
-
Month
Year
Email
*
Mobile Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Mobile Number
*
Mobile Number
Please list any medical concerns we should be aware of
*
EG. diabetic, heart conditions etc NA if not applicable
To Packages & Accomodation
HUSTLE Retreat Package
*
Please Select
Twin Share Package
Private Room Package
Couple Package
Please select the package you are wanting to purchase
Rooming in twin share with a friend? If so, please list their name.
Leave blank if you have selected twin share but don't have someone to share with
Do you require extra nights accommodation?
*
Please Select
Yes
No
If yes, please answer next two fields. This will incur additional costs & subject to accommodation availability
If YES; Please provide check IN dates if extending your stay
*
-
Day
-
Month
Year
If YES; Please provide check OUT dates if extending your stay
*
-
Day
-
Month
Year
Have you booked your flights
*
Please Select
Yes
No
If yes, please answer next two fields.
If Yes, please provide flight number into Phuket
If Yes, please provide flight arrival time into Phuket
If Yes, please provide flight number departing Phuket
If Yes, please provide flight arrival time departing Phuket
Please select your Free Retreats Singlet Size
*
Please Select
Womens - Xsml
Womens - Sml
Womens - Med
Womens - Lge
Mens - Sml
Mens - Med
Mens - Lge
Mens - Xlge
Mens - XXLge
Sizes guide: larger loose fit, go with standard AUS size or size down for more fitted
Anything further you'd like to include
Back
To Payments
Payments
Please select one of the payment options for your desired package below. Your reservation WILL NOT be secured until a deposit has been received. Please read T&C's on full cancellation and booking terms.
Select Your Package
*
prev
next
( X )
Twin Share - Upfront Payment
Price listed is FULL upfront payment | Price is for 1 person only
$
2,190
AUD
Quantity
1
Twin Share - Deposit Only + Payment Plan
Total Package Price $2,190 | Price listed is 30% Deposit Only | Price is for 1 person only
$
657
AUD
Quantity
1
Private Room - Upfront Payment
Price listed is FULL upfront payment | Price is for 1 person only
$
2,590
AUD
Quantity
1
Private Room - Deposit Only + Payment Plan
Total Package Price $2590 | Price listed is 30% Deposit Only | Price is for 1 person only
$
777
AUD
Quantity
1
If selected DEPOSIT ONLY please provide how the final payments are to be made
*
One Payment
Monthly Payments of remaining balance
Spot Confirmation
Please be aware your place is not secured until a deposit has been made to the below account. Once the deposit has been received, you will receive a confirmation email within 24hours.
Name
*
First Name
Last Name
Signature
*
Date
*
-
Day
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Month
Year
Date
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