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please complete ALL the following fields (in language of your choice)

on receiving this information, we will respond by email with
payment and other practical arrangements.

YOUR PARTICIPATION WILL ONLY BE SECURED ONCE a
50% DEPOSIT HAS BEEN PAID BY YOU.


1. NAME and SURNAME (First and Last Names)




2. Email address


3. Phone number(s)


4. Country, City/Town


5. Your main artistic interest

- please select


6. Choose package


self catering

package 1: single accommodation, self catering: R 6700 ($ 437)

package 2: sharing accommodation, self catering: R 6300 ($ 411)


3 meals / day + 2 coffee breaks / day

(note: except for day of arrival: 1 evening meal and day of leaving: 1 breakfast)

package 3: single accommodation:
R 8500 ($ 554)

package 4: sharing accommodation:
R 8100 ($ 528)

 


EXTRAS

7. Any number of people coming along who
are not participating in Retreat Programme

yes no

if yes, please provide number of people and their
accommodation requirements:




8. Transport from and to East London airport

yes no


9
. Music instrument rental

yes no

if yes, please state what you would require and
we will endeavour to arrange it for you:




10
. Day care for children

yes no

if yes, please provide number of children:



11. Any additional notes and/or requirements?






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