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ALPHA WELLCATION
BOOKING FORM
Guest Name
Child
Age
Email
Address
City
Postal / Zip code
Country
No. of Guests
No. of Rooms
*
1
2
Accommodation
*
Single Occupancy
Double Occupancy
Twin sharing (2 single beds)
Double Occupancy (with extra bed)
Check in
Check out
Meal Plan (choose one with us. 2nd meal at club house/dine out)
Lunch
Dinner
Food Preference
Vegetarian
Non-Vegetarian
Food restrictions, if any
Choose your Self-care Therapy (1-on-1)
Thai Hand/Foot Re-flexology
Thai Yoga Bodywork
Acupressure
Walk-talk Therapy
Hypno-therapy
Coaching Interaction
Self-care Consultation
Choose your Self-care Class (Group)
Mindful Breathing
Mindful Meditation
Mindful Relaxation
Singing Bowl Therapy
Group consultation
Details: No. of Sessions/people etc.
I understand that this form is a request for booking, and that the booking is confirmed when payment is complete. I also understand that I can cancel/change dates 48 hrs prior at no cost, and that no refund is considered if cancelled in less than 48 hrs.
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