Immersions Application

Please follow the instructions below to fill your application.
- Complete this form to confirm with us availability for your desired dates.
- PLEASE ONLY PAY THE BOOKING DEPOSIT ONCE WE HAVE CONFIRMED AVAILABILITY FOR YOUR DESIRED DATES.
- To finalize your booking we will ask for a non-refundable deposit. See our policies here. Covid-related cancelations are fully refundable.
- A Deposit of 3500 Baht (or 100 USD for international customers) is required to guarantee your reservation. You will receive an email our confirmation of availability. Please note we cannot guarantee your reservation until a deposit is received.
- Once reservations are confirmed, the deposit is non-refundable.
- We can only accept guests aged 16 and older.
Your remaining balance payment can be made upon arrival in cash (Thai Baht ONLY), credit card (3% bank fee) or Thai Bank Transfer (for local residents).

We look forward to seeing you at our center and are always here to help!

Personal Information

Full Name*

First Last

Email Address*

Country*

Country

Retreats and Dates

Which Retreat Are You Interested In?*

Breathwork Immersion
Other

*This retreat is available throughout the year.

Date of Your Breathwork Immersion

Date of Other Immersions Programs?

Accommodation

Accommodation Type*

Elevated Bungalow (Single)
Elevated Bungalow (Shared Double only)
Garden Room (Single)
Garden Room (Shared Twin or Double)
Dorm
No Accommodation

Other

Comments

Please inform us of food allergies, special requests, or ask any necessary questions.

Waiver and Release | Refund Policy | Privacy Policy*

Select All
I agree and consent to the Ananda Waiver and Release Form
I have read and understand Ananda’s Yoga Refund Policy
I understand that my form data will be stored Privacy Policy

Booking Deposit

PLEASE ONLY PAY YOUR BOOKING DEPOSIT WHEN WE HAVE CONFIRMED AVAILABILITY FOR YOUR REQUESTED DATES! NO REFUNDS.

Payment Method*

Credit Card (Stripe)
Bank Wire

If you pay your deposit via Thai Bank Transfer method, please upload a photo of your transfer receipt below.

Where Do You Reside?*

Thailand Residents
Non-Thailand Residents

Booking Deposit Cost

Price:

After you fill this form and submit, you will be taken to a secure page to enter your payment information. Please note that we do not process/store it on our website.

Bank Wire Instructions Thailand Residents

If you are residing in Thailand, Please send 4,000 ฿ (Thai Baht) to:

Name of bank: Bangkok Bank
Address Branch: Koh Phangan 0697, Thailand
Account Number: 697-0-15771-2
Account Name : Yama Yoga Wellness
Code: Bkkbthbktrd

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For USD Transfers (US & International) – $150
Account Holder: Yama Yoga Wellness co ltd. 
Routing number : 084009519 
Account number: 9600000000611206
Account type : Checking 
Address:  TransferWise 19 W 24th Street New York NY 10010 United States

For GBP Transfers – £110
Account holder: Yama Yoga Wellness co ltd.
Sort code: 23-14-70
Account number: 25628910
IBAN: GB62 TRWI 2314 7025 6289 10
Address: TransferWise 56 Shoreditch High Street London E1 6JJ United Kingdom

For EUR Transfers – €125
Account holder: Yama Yoga Wellness co ltd.
BIC: TRWIBEB1XXX
IBAN: BE83 9671 9575 0915
Address: TransferWise Europe SA Avenue Louise 54, Room S52 Brussels 1050 Belgium
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Social

Address

16/3 Moo 6, Koh Phangan Surat Thani, 84280, Thailand. (Click to View in Google Maps)

Services

Detox Programs
Yoga Teacher Training
Yoga Retreats
Drop-in Classes Koh Phangan

Contact

Phone: (+66) 077 377 645
Email: [email protected]

About Us

About Us
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Official Certification

Certified by Amazing Thailand Safety and Health Administration

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