BANGKOK OFFICE
11th Floor, Modern Town Building
87/104 Sukhumvit Soi 63
Bangkok, 10110
Thailand

Tel: +66 (0) 2 711 6900-12
Fax: +66 (0) 2 381 5852

HUA HIN OFFICE
73/4 Petchkasem Road, Hua Hin
Prachuab Khirikhan, 77110
Thailand

Tel: +66 (0) 3253 6536
Fax: +66 (0) 3251 1154

Reservations

You have reached the reservations page for Art of Detox 7-day Retreat with Sandy Newbigging at Chiva-Som. Sandy Newbigging is an author of 4 books, including 'Life Detox', a meditation teacher, and creator of the Mind Detox Method, as seen on Discovery Health. For more information on this retreat, please click here

To watch a short video clip of Sandy talking about the retreat, please click here, the power of Mind Detox and the Meditation, please click here for part 1, click here for part 2 and to read more about Sandy's retreats click here to visit his website.

Please fill in the details as required below and click "submit" to send to the Chiva-Som reservation office. You will be contacted shortly.

All fields marked with * are required

Retreat date is 1^st - 7^th April 2011 only, with a minimum stay of 6 nights.

Period 1: 1st - 7th April 2011

ROOM TYPE *

Ocean View Thai Pavilion Herbal Suite Fragrance Suite Rainforest Suite Golden Bo Suite Leelawadee Suite

PERSONAL INFORMATION *

Guest Name * -DrMrMsMrs		Surname *
Guest Name    -DrMrMsMrs		Surname

(if two people are sharing please provide both names)

Your Home Address *
City		Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntarcticaAntiguaArgentinaArmeniaAustraliaAustriaAzerbaijan BahamasBahrainBangladeshBarbadosBelarus BelgiumBelizeBeninBermudaBhutan BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundi CambodiaCameroonCanadaCape VerdeCentral African Republic ChadChileChinaColombiaComoros Congo, Democratic RepublicCongo, Republic of theCosta RicaCote d'IvoireCroatia CubaCyprusCzech Republic DenmarkDjiboutiDominicaDominican Republic East TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopia FijiFinlandFrance GabonGambiaGeorgiaGermanyGhana GreeceGreenlandGrenadaGuatemalaGuinea Guinea-BissauGuyana HaitiHondurasHong KongHungary IcelandIndiaIndonesiaIranIraqIrelandIsraelItaly JamaicaJapanJordan KazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstan LaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourg MacedoniaMadagascarMalawiMalaysiaMaldives MaliMaltaMarshall IslandsMauritaniaMauritius MexicoMicronesiaMoldovaMongoliaMoroccoMonacoMozambique NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorway Oman PakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugal Qatar RomaniaRussiaRwanda SamoaSan MarinoSao TomeSaudi ArabiaSenegal Serbia and MontenegroSeychellesSierra LeoneSingaporeSlovakia SloveniaSolomon IslandsSomaliaSouth AfricaSpain Sri LankaSudanSurinameSwazilandSwitzerlandSweden TajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistan UgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistan VanuatuVenezuelaVietnam Yemen Zimbabwe
Zip code *
Your Email Address *		Your Tel/Fax *
Special Requirements
	eg. twin beds, feather pillows, etc.

OTHER INFOMATION*

Preferred transfer from Bangkok to Chiva-Som:
Bangkok International Airport   Other
For 2 persons:
By Luxury Car (Mercedes Benz E220)   By Luxury Car (Mercedes Benz - S Class)
For more than 2 persons (5 seats):
By Van (Toyota - Commuter)   By Luxury Van (Toyota - Alphard)
Own Arrangements

Preferred VIP Airport Welcome and Services: Yes No

Is it your first time to visit Chiva-Som?: Yes No

Preferred way for Chiva-Som to reply to you: EmailPhone

Note:
You can print and fill in details as required and send via fax or mail to the following:
Mail: Chiva-Som, 73/4 Petchkasem Road, Hua Hin, Thailand 77110
Fax: +(66) 32 511 154
Phone: +(66) 32 536 536
E-mail: reservation@chivasom.com or reserv@chivasom.com