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Customer Details
 

Thanks for booking a retreat with Bliss Yoga Retreats!

 

Could you please complete the following fields so that we can create an invoice for your booking and have all the relevant information collected for each guest attending the retreat. 


The remaining payment for the retreat is due 30 days before arrival, although you are welcome to pay it further in advance if you wish.

Full Name

Email Address

Phone (Including country code)

Arrival Date
Arrival Time

Instagram

Date of Birth

How did you hear about us?

Special dietary requirements or allergies?*

Medical conditions or injuries to be aware of? *

Preferred payment currency*

Currency
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