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BREATH | BODY | MIND
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WELLCATION
BOOKING FORM
Room 1: Guest
Room 2: Guest
Child
Email 1
Alt. E-mail
Address
City
Postal / Zip code
Country
Choose your Plan
Beta (Family Daycation)
Alpha (Family Wellcation)
No. of Rooms
1
2
Accommodation
Single Occupancy
Double Occupancy
Twin sharing (2 single beds)
Double Occupancy (with extra bed)
Check in
Check out
Food Preference
Vegetarian
Non-Vegetarian
Incl. food in Plan (optional)
Lunch
Dinner
Food restrictions, if any
Choose your Wellness Treats
Hand Re-flexology
Thai Foot Reflexology
Thai Yoga Bodywork
AcuChair Therapy
Singing Bowl Therapy
Walk-talk Therapy
Hypno-therapy
Life Coaching Interaction
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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