Ohm Retreats Booking Form & Payment

Ohm Retreats Booking Form

with online payment - after clicking "Submit" a PayPal page will open

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Full Name *

First Name Last Name
E-mail *
Contact Number *

Country Code Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / County

Postal Code Country
Nationality, Passport N & Expiry Date *
Arrival Time & Date

Day Month Year Hour Minutes
Type of Room

Retreats *

product

Spiritual Trip

Accomodation	Price	# People
Deposit	€ 250.00 EUR
Room Sharing	€ 850.00 EUR
Single Supplement	€ 350.00 EUR

Item subtotal: € 0.00 EUR

product

Extra Days in Himalayas

Accomodation	Price	# People
Deposit	€ 250.00 EUR
Room Sharing	€ 450.00 EUR
Single Supplement	€ 250.00 EUR

Item subtotal: € 0.00 EUR

product

New Year in Kerala

Accomodation	Price	# People
Deposit	€ 250.00 EUR
Room Sharing	€ 899.00 EUR
Single Supplement	€ 699.00 EUR
Peak Time Supplement	€ 175.00 EUR

Item subtotal: € 0.00 EUR

product

Experience Kerala

Accomodation	Price	# People
Deposit	€ 250.00 EUR
Room Sharing	€ 899.00 EUR
Single Supplement	€ 699.00 EUR
Extra Munnar	€ 399.00 EUR

Item subtotal: € 0.00 EUR

product

Retreat in Italy

Accomodation	Price	# People
Deposit	€ 250.00 EUR
Room Sharing	€ 589.00 EUR
Single Supplement	€ 195.00 EUR

Item subtotal: € 0.00 EUR

Enter coupon

Subtotal € 0.00 EUR Tax € 0.00 EUR Total € 0.00 EUR

Additional Message

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Clicking on SUBMIT will bring you to a PayPal payment page - you dont need a PayPal account to complete the payment. You can print the form and post it to 8 Patrick St Dun Laoghaire Co Dublin or select Print Form, save it as a pdf and email to us info@ohmretreats.com
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