DHARMAMIND BOOKING FORM
Shropshire Easter Retreat 2011
April 22nd / 25th
£145 / £135(SS)
Name: ..............................................................................................................................................................
Address: .........................................................................................................................................................
.........................................................................................................................................................................
Email: (please PRINT clearly).....................................................................................................................
Do you contribute to Sangha Support?................................. YES / NO
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 £50 non-returnable / non-transferable cheque
made payable to Dharmamind Buddhist Group, and send along with this
booking form to:-
Shropshire Easter Retreat 2011
DharmaMind Buddhist Group
56 Mount Road
Penn
Wolverhampton
WV4 5SW
Contact Martin:07722770495 e-mail: team@dharmamind.net
Payment by PayPal can be arranged on request.
I have at least 6 months meditation experience.
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