Revitalise

the

body

mind

and

spirit.
 
 


BOOKING & INFORMATION REQUEST FORM

For booking or information please complete the form below. Fill some or all spaces. This form may also be printed and faxed. The STUDIO Retreat A4 flyer PDF  can be read or downloaded from the web page link. Snail mail to Daylesford Healing Retreat, PO Box 335 Daylesford 3460   ph 03 5348 1077
Select Your Title
Christian Name
Surname
Street Address
Suburb, Town, etc
State
Post Code
Phone Number
Fax Number
Your Email Address
Select the nature of your interest
 
Anything else you would like to know?

Press when the above information is completed

A great place to relax indulge and rejuvenate

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