Ratu Bagus Shaking Retreat Australia
Tuesday 7 - Sunday 12 January 2020
First Name *
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Last Name *
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Phone Number *
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Email Address *
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Address *
eg: 27 Smith St. Belmore, 3219 Vic.
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Name and Phone number of a person we can contact in case of an emergency *
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Click on the type of accommodation you require - including all meals and training sessions (for children, please contact australia@ratubagus.com). *
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If sharing with other person/s please list them
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Food (please tick ONE) *
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Other dietary requirements
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Bus transfer from and to Coolangatta airport ****QLD is 1hr behind NSW and VIC***
a) Bus from Coolangatta Airport to retreat. Bus leaves 11am QLD time, 7th January, cost $25.
b) Bus to Coolangatta Airport from retreat. Bus arrives at airport 3:30pm QLD time, 12th January, cost $25.

Please have $25 on you to pay for the bus driver.
Click on transport required: *
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Retreat Payment
Retreat Payment *
To secure your place you need to pay at least $200, please enter the amount you have paid in the box below.
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Please provide payment details, date of transfer / receipt number *
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Payment Details for Electronic Transfers/Deposits:
Bank Name: Credit Union Australia
Account Name: Ratu Bagus International (Australia) Incorporated
BSB: 814 282
Acc Number: 31193969

For international transfers-
SWIFT code: CUSCAU2SXXX
Address: Cuscal – 1 Margaret Street, Sydney, NSW, 2000 Australia.
Past Bio Energy Shaking Experience *
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How did you hear about Bio Energy shaking? *
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SEE YOU IN JANUARY OSRB
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