Tharpaland International Retreat Centre - 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.

First name:
Last name:
Street address:
Town/city:
County/state:
Postcode/zip:
Country:
Telephone
E-mail:
Arrival date: Departure date:
Retreat / Course:
Accommodation (please select):
Please note single & twin rooms are extremely limited
If not available will you accept dormitory?
Deposit 25% of prefered choice for accommodation
(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:
For some of our retreats at Tharpaland we require a teachers reference before we can confirm a place. To speed this process up it would help if you could provide your Teacher's details below.
Teacher's name:
NKT Centre and / or branch which you attend:
Teacher's Email:
Please use the space below for additional booking requests - such as transport before or after a festival.
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