Your Details:    (Click here to return to the Page you have come from)

If you don't wish to book online, click to print out this booking form and post it to: print this page
Mana Retreat, RD 1, Coromandel 3583, New Zealand or FAX to 0064 7 866 8214
  Note: all fields with an asterix * are required.
 
*   Please Choose a Programme or Personal Retreat from the drop-down box below.
(If your course is not listed please register directly with the presenter)
 
 Do you wish to extend your stay at Mana
 
 Select to add a Second Person’s Details
First Name *
Surname *

Gender *
Female
Male
Email *
Telephone
Mobile
Address
Suburb
City
Post Code
Country *
Accommodation Requirements
Accommodation is in shared rooms with all linen provided
I wish to share a room with
I am not staying at Mana Commuter
   
Special Requirements
All meals at Mana are vegetarian
First Person Diet dairy free gluten free wheat free vegan
 
Other Dietary or Special Requirements:
( please phone Mana to discuss )
 
There will be a surcharge of $10 per person / per day for special dietary requirements ie vegan, gluten, wheat and/or dairy free. We will require a phone consultation to determine if other dietary requirements can be met.
 
Transport: Please refer to the "Getting to Mana Retreat" webpage.
Please plan your transport needs as Mana is located in a rural setting with limited public transport.
   
Have you been to Mana before? *
 Yes
 No
   


Payment Details
* Please select your Payment Method
 No deposit required for waitlisted courses
Direct Credit BNZ Coromandel 02-0304-0312089-00 ( Preferred for NZ$ payments )
Cheque payable to: Mana Trust
Credit Card Payment ( Preferred method for Overseas Currency payments )


To confirm your registration we require either a payment in full or a deposit of NZ $100 ( *unless the course is wait listed* )

If you are paying via Direct Credit/Bank Transfer, please include the Course Name in the reference field so we can identify your payment.
 

Full Payment in NZ$
Minimum Deposit - NZ$100 per person

Acknowledgement
Please read and tick this acknowledgement:
Accommodation is shared. We will consider all special needs requests but cannot guarantee their provision.
Only lacto-ovo vegetarian food is permitted at Mana. Mana is drug and alcohol free.
Cancellations with more than ten days notice prior to the beginning of the course: your deposit is fully transferable to another course within the next 12 months or may be refunded less a NZ$30 administration fee.
Cancellations within 10 days of the event forfeits the deposit.
*There may be changes to this refund policy for individual courses. Please see course information brochure.
* I/We understand and acknowledge the above

  -  If you are paying via Credit Card, you will be redirected to our Secure Online Payments page