retreat registration form

fasting & rest retreat

Sunday 16th January 2011 - 4 day retreat
Monday 17 January 2011 - 3 day retreat

Please complete the Fasting & Rest Retreat registration below. If you have any questions, please phone Zalan on 5348 2005.

Name *
Phone Number *
Email Address *
How did you find us? *   Google search (please not search term below)
  Other web search
  Word of mouth
  Referral from another site
  Other (Please note below)
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Payment can be made by direct deposit to:
Hepburn Retreat Centre
BSB: 633-000 Acct: 140314725
Payment Amount *
See below for retreat costs and to choose your payment option.
Your questions and things you think we should know
I have a car and can give a lift
I would like a lift if available
Please type the text above *

retreat cost

4 Day Fasting Retreat (5 nights)

Early Bird Price = $330 ($300 concession). If paid by 16th December 2010.
Full Price = $360 ($330 concession).

3 day fasting retreat (4 nights)

Early Bird Price = $300 ($275 concession). If paid by 16th December 2010.
Full Price = $275 ($250 concession).

Deposit

A deposit of $100 is required to secure your place.

Notes

  1. Places limited to 10 people
  2. Room allocation based on Private Room with hand basin
  3. Retreat facilities include shared bathrooms and toilets
  4. Guests to remain On Site, and visitor access restricted for duration of Program
  5. No prior experience with fasting is necessary
  6. Balance of payment due upon arrival