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Moth Retreat Application Form
Name
Address
Email Address
Phone
Short Bio
How did you hear about the Moth Retreat?
When would you like to stay?
Enter the Number Above
Minimum stay 1 week (400 p.w, including non-refundable 50 p.w. per person deposit on booking).
There is a supplementary fee of 100 per week if you bring a partner or friend (at The Moth's discretion).
The remaining balance of your payment should be made upon arrival at The Moth.
We aim to accommodate a range of artists (of all disciplines) and writers, and places are limited,
so please don't be disappointed if your application is unsuccessful.
