HOLIDAY BOOKING FORM 2016
Pomegranate, Olu Deniz, Turkey
8-15th August 2015

Name (exactly as it appears on your
passport)__________________________________________________________________
Address
______________________________________________________________________________________________
_________
Town ________________________ Postcode_________________
Number(s)_________________________________
Contact
Email
______________________________________________________________________________
_________
Date of Birth/Age
__________________________
Male
Female 
Next of Kin______________________________________________ Phone
______________________________________________
Please detail any special requirements or medical conditions we should
be aware of:
__________________________________________________________________________
____________________
Please note: Price does not include flights. Fly to Dalaman. Airport
Transfers are not included
and must be paid locally (approx €35 return). If you have any further
questions, please contact
Silvia on: retreats@fiercegrace.com or 020 8960 9644.
THIS FORM CAN BE RETURNED VIA EMAIL, POST or FAX:
Email: retreats@fiercegrace.com
Hand Deliver or Post: Silvia Smullen Fierce Grace West, 260 Kilburn Lane,
London, W10 4BA
Fax: Attention of Silvia Smullen 020 8196 2396
Please forward your flight departure and arrival times to Silvia on
retreats@fiercegrace.com as soon as you have booked them
Cheques payable to ‘Yoga Retreats’ in the amount of £965 and to be sent
to Fierce Grace Holidays, 260 Kilburn Lane, London, W10 4BA
To pay via credit card, payments to be made by calling Tel: 020 8960 9644
To Pay via online banking: Yoga Retreats Account Number: 66063272 Sort
Code: 51-50-10
YOU MUST USE YOUR SURNAME AS A REFERENCE FOR PAYMENT
OFFICE USE ONLY:
Date_______________Method of payment______________________
Amount Received____________________Staff member that took payment/form ___________