Booking Form - Slow Retreats
Exclusive luxurious retreats, connecting excellent instructors with unique locations
Thank you for choosing GiliTA for your next holiday. To confirm your reservation, please fill out and sign one form per person. This information will help us with registration formalities during your holiday and in the port sector.
Each passenger is responsible for ensuring that their own documentation. Your passport needs to be valid for at least 6 months after arrival in Indonesia, and please check the Visa requirements for your country.
Thank you for your help! We look forward to having you Slow down, relax and rejuvenate with us!
Name of retreat you’d like to join:
Full Name (as in passport):
Prices below are inclusive of meals, workshops and airport pickup:
Please select your choice of accommodation?
Bamboo Hut - Shared 795USD / Private 822USD
Dorm - Shared 825USD
Standard Room - Shared 990USD / Private 1150USD
Deluxe Room - Shared 1050USD / Private 1235USD
Villa Suite - Shared room 1200USD / Private room 1550USD
Would you like 'Shared' or 'Private' room?
Pay 50% deposit, 40 days before departure we'll charge you the remaining balance
Payment plan: Pay 200USD deposit. Remaining balance paid in 6 monthly instalments
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service