Your Details:    (click here to return to the Home Page)

If you don't wish to book online, please print out this booking form and post it to:
Mana Retreat, RD 1, Coromandel 3583, New Zealand or FAX to 0064 7 866 8214
Note: all fields with an asterix * are required.
Choose the Name of a Programme or Personal Retreat. (If your course is not on the list you will need to register directly with the presenter)  *
Date arriving *  Pick a date (click to pick a date)
Date departing *  Pick a date
Select to add a Second Person’s Details
First Name *
Surname *
Gender *
Female
Male 		Female
Male
Email *
Telephone
Mobile
Address
Suburb
City
Post Code
Country *
Have you been to Mana before? *
 Yes
 No		  Yes
 No
Accommodation Requirements
Accommodation is in shared rooms with all linen provided
I wish to share a room with
If booking for two single beds double bed (if available)
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
Second 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.
   
How did you hear about Mana and this course ? This information is really useful to us. Your help is appreciated.
If Magazine (please specify)
If Flyer or Poster (location?)
If Other (please specify)
   


Payment Details
* Please select your Payment Method
 No deposit required for waitlisted courses
Direct Credit BNZ Coromandel 02-0304-0312089-00 ( *Mana’s preferred method* )
Cheque payable to: Mana Trust
Credit Card Payment


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

Full Payment in NZ$
Minimum Deposit - NZ$100 per person ($300 - for Stephanie Dowrick Retreat)

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