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English (UK)
English (US)
Flourish Women Retreat Booking Form
Book your place at the Flourish Women Retreat. Complete the form below to secure your place and let us know your preferences and requirements. Registration will close as soon as all spaces are filled. Limited availability.
Full Name
*
First Name
Last Name
Address
*
Telephone / Mobile
*
-
+44
Phone Number
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Email
*
example@example.com
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Telephone / Mobile
*
-
+44
Phone Number
Accommodation Preference
*
Twin Room (£295 per person)
Double Room – Single Occupancy (£395 per person)
If booking a Twin Room, who will you be sharing with?
Dietary Requirements
Accessibility or Additional Requirements
Would you like information about discounted spa treatments? (Limited availability)
Yes
No
Deposit amount (£100 per person)
Payment Method
Bank Transfer
Other - admin fee min £5 applies for card transactions
I understand that my £100 deposit secures my place and is non-refundable. I agree to the booking terms and conditions of Flourish Women.
*
I agree
Signature
*
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Submit Booking
Submit Booking
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