Booking Form

Booking Form

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Daytime phone number (inc country code)*
Daytime phone number (inc country code)*

Mobile phone number if different from above

Date Of Birth (ddmmyy)*
Date Of Birth (ddmmyy)*

Female/Male*
Female/Male*

	Female
	Male

Vegetarian

	Yes
	No

Vegan

	Yes
	No

Other dietary requirements

Occupation

How much yoga have you done before?*
How much yoga have you done before?*

If you have done yoga before, which type was it?

Do you have any injuries or illness?*
Do you have any injuries or illness?*

	Yes
	No

If so, please give details

What type of room would you prefer?*
What type of room would you prefer?*

	Share of a Double room (with a partner)
	Share of a Twin room (with a friend)
	Share of a Twin room (with another suitable customer - depending on availability)
	Single room (£70/£100 supplement)

If you are sharing a room with a friend/partner, what is their name?

What are the dates you would like to come? (ddmmyy - ddmmyy)*
What are the dates you would like to come? (ddmmyy - ddmmyy)*

Have you booked a flight yet?*
Have you booked a flight yet?*

If you have, what is the date, arrival time and flight number of your flight to Antalya/Dalaman?

What airport are you arriving from?

What is the date, departure time and flight number of your flight home?

What airport are you departing to?

You are required to have your own travel insurance.*
You are required to have your own travel insurance.*

	Yes, I have my own travel insurance
	No, I do not yet have insurance

If you do already have travel insurance, who is it with?

Have you been on a Heliotrope Yoga Holiday before?

	Yes
	No

If not, how did you hear about us?

	Through a friend
	Through the teacher for this holiday
	Through another teacher
	Website
	Other

Please confirm that you agree with our terms and conditions.*
Please confirm that you agree with our terms and conditions.*

Yes, I have read and agree with the terms and conditions

Do you wish to stay at the venue for any extra nights? (depending on availability).

We will email you our bank details once we receive this form. What amount will you be transferring? (eg £75 if deposit only)*
We will email you our bank details once we receive this form. What amount will you be transferring? (eg £75 if deposit only)*

Upon receipt of your payment, would you like us to email you a receipt?*
Upon receipt of your payment, would you like us to email you a receipt?*

	Yes
	No

Is there any other information you wish to give us?

Please enter the word that you see below.