DHARMAMIND
BOOKING FORM
COTSWOLD
7 DAY NEW YEAR RETREAT
£ 320 / £300 (SS)
DEC.27th
/ JAN. 3rd 2012
Name:.........................................................................................................................................................................................................
Address:..................................................................................................................................................................................................
......................................................................................................................................................................................................................
Email:
(please PRINT clearly)...........................................................................................................................................................
Contact
phone no:................................................................................................................................................................................
Do you contribute to SANGHA SUPPORT? ..........................YES / 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 non-returnable / non-transferable deposit of a £65 cheque made
payable to Dharmamind Buddhist Group, and send along with the 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.
Signed
..Date
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