The next retreat will be held at Taraloka Retreat Centre, Shropshire, Sunday 31st July - Friday 5th August 2011

Please print and complete the form and send it to

Breathworks Manchester CIC, 16 - 20 Turner Street, Manchester,  M4 1DZ

Name:…………….………………………………………………………………………………

Address:…………….………………………………………………………………………….

Contact telephone number:…………….……………………………………………

email:…………….………………………………………………………………………………

Cost for accommodation and materials is £250

As this cost does not include tuition, etc. there will be an opportunity to give a donation (dana) at the end of the retreat

Non-refundable deposit

I enclose a non-refundable, non-transferable deposit of £50. Please make cheques payable to Breathworks Manchester CIC. If you need a receipt for your deposit, please include a SAE.

Other ways of paying

Contact our office on 0161 834 1110 for telephone payment by debit /credit cards or BACS

Food

Food will be vegetarian. Please state any special dietary requirements:

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More information

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• 0161 834 1110