DHARMAMIND BOOKING FORM

Big Mose Shropshire Autumn Retreat 2009
October 9th/11th 2009
£90


Name: ..............................................................................................................................................................

Address: .........................................................................................................................................................

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Email: (please PRINT clearly).....................................................................................................................

Contact phone no: .......................................................................................................................................

Do you have any special dietary needs?

Is there any other information that may be helpful to know before your retreat? For example, do you take medication for mental health purposes?

Please enclose a £45 non-returnable / non-transferable cheque made payable to ‘Dharmamind Buddhist Group’, and send along with this booking form to:- 

Big Mose Autumn Retreat 2009
DharmaMind Buddhist Group 
65 Linden Road 
Bearwood 
B66 4DZ
West Midlands

Payment by PayPal can be arranged on request.

Contact David: Tel: 07905630322  e-mail: retreat@dharmamind.net

I have at least 6 months meditation experience.

 

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