Painting in Paradise

BOOKING FORM

When you are ready to book your place in one of my 'Painting in Paradise' retreats please complete and submit this online form. When I receive your form I will be in contact to confirm details and arrange payment. If you require more than two passengers please contact me via email
Painting in Paradise - Tahiti
Select Retreat*
Select an option*

PainterNon- Painting partner
Level (art is for everyone)*
Number of passengers*

onetwothreefour
Full Name as it appears on your passport*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country Code - Moblie Number
Please supply a clear scan or jpeg of your current passport
Please select accommodation*

Twin shareSingle room
Comments or other requirements
Enter the message as it's shown*
Reservation Fee

prevnext( X )
AUD(the reservation fee will be credited towards your final payment)

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Painting in Paradise - Tahiti