Medicine Walk Weekend 2017 - Booking Enquiry

Please provide us with the information requested below. If you are ready to book now, please indicate this in the spaces provided, and we'll get back to you directly with a Retreat Registration Pack.

If you have any questions that you'd like answered or discussed, prior to booking, please tell us in the space provided at the bottom and we'll be happy to help as much as we can.

Thank you!

Name *
Name
Address
Address
Please state your preferred Package Option
Ready to book now? If so, how do you wish to pay...
By completing this field, we will take this as an instruction to send you an invoice Please make sure you've answered everything we need to know.
Please note, this will be applied to the full payment, and does not affect the deposit.

Please note: Unless you have stated above that you are ready to book, sending us this form at this stage is taken purely as an expression of interest.