Booking Form - Sweat Lodge Ceremonies 
(please print and complete)

Date of Ceremony:______________________________

No of places:______@ £______each.  Total: £_______                 

Name:________________________________________

Address:______________________________________

_____________________________________________

________________________Post code:____________

Tel no:_______________________________________

Email:________________________________________
Directions to the site will be sent to you by email on receipt of booking.

Are you able to car share?:   YES / NO
If so - one week before, your tel no and town will be circulated to other participants in order that you can arrange car sharing between you.

Where did you first hear about the Ceremonies?

________________________________________________________

Please send your completed form, along with a cheque for the full amount payable to 'Sweat Lodge' to:
Melanie Swan, 50 Ashgrove Road, Flat 3, Ashley Down, Bristol, BS7 9LQ.

Refunds will be given only if we can fill your place.