CAMBODIA LUXURY YOGA & WELLNESS RETREAT
REGISTRATION FORM

All fields are required.

The above information should be as shown on your passport.
Please list name, phone and email of who we should contact in case of emergency.
$500 non-refundable/non-transferable deposit for the above luxury retreat.
Full balance of Retreat fees payable one month prior to arrival date – October 9, 2019
PAYMENT METHOD
Payment to be made via direct deposit to Dharma Cottage Yoga's bank account - we will send you account details when we reply to confirm your booking.
reCAPTCHA is required.

TESTIMONIALS