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Kirtan London: Bhakti Immersion Retreat 2018
Welcome to the registration form for our annual Bhakti Immersion Retreat!

We're really excited to be going to Buckland Hall with you this year between 23rd-28th September.
From Yoga and Bhakti seminars to delicious, healthy feasting and of course soul stirring Kirtans with Radhika Ranjana and friends, you're sure to have a spiritually nourishing experience.

When: Sunday 23rd to Friday 28th September 2018
Where: Buckland Hall, Bwlch, Brecon LD3 7JJ
Cost: £399pp (in a room of 4persons), £469pp (in a room of 2persons) & £549pp (in a private room).
All prices include transportation from Bhaktivedanta Manor, Aldenham, WD25 8EZ

If you have any questions regarding the form or the retreat, please don't hesitate to contact us via: info@kirtanlondon.com

Section 1: About you
Full Name (First , Last) *
Full name as it appears on passport
Your answer
Mobile Number *
Please include the international dialing code if outside the UK
Your answer
E-Mail address *
You main e-mail address
Your answer
Address *
Please enter the first line of your address including house name / number
Your answer
Town/ City *
Your answer
Postal Code *
Your answer
Gender *
Date of Birth *
enter in the form DD/MM/YYYY where DD is a two digit day of the month, MM is the month, YYYY is the year e.g. 1st January 1990 = 01/01/1990
Your answer
Passport Issuing Country *
If you do not have a UK passport then please state the country that your passport is from.
Your answer
If you have been to a Kirtan London event before, which one? *
e.g. 6 Hour Kirtan, Mantra Lounge (Covent Garden), Bhakti Sangha etc. (If not, please enter N/A)
Your answer
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