Tharpaland IRC Special Events Booking Form to Print & Post

Please complete one form per person.
Fill in the form on screen, print, sign, and mail it to the address below with your deposit.
Please note - accommodation is not included - please organise your own accommodation (see links on website).

First name:
Last name:
Street address:
Town/city:
County/state:
Postcode/zip:
Country:
Telephone
E-mail:
Arrival date: Departure date:
Special Event :
Days attending:
Booking for supper on Saturday: (lunch included in price)
Deposit 25% of total cost
(non-refundable and non-transferable):
If paying in full, specify amount:
Method of payment:
If paying by credit / debit card, card type:
Name on card
Card no: Card expiry date:
Debit card start date: Debit card issue number:
Please can you provide some additional information below:
Which class do you attend:
Please use the space below for additional booking information.
Other Info:
click here to print form

SIGN & DATE form and mail it with your deposit to the address below:

Signed & Dated: return to homepage

Tharpaland International Retreat Centre
Parkgate, Dumfries, DG1 3LY, UK
Tel:+44 (0)1387 860 618 retreat@tharpaland.org