DHARMAMIND BOOKING FORM

The Malverns Easter Retreat
April 10th / 13th 2009
£180

 


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

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

.........................................................................................................................................................................

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 non-returnable / non-transferable deposit of a £65 cheque made payable to ‘Dharmamind Buddhist Group’, and send along with this booking form to:- 

The Malverns Easter Retreat
56 Mount Road
Penn
Wolverhampton
WV4 5SW

Payment by PayPal can be arranged on request.

Contact Martin: Tel: 07722770495  e-mail: ryokan@fsmail.net

 I have at least 6 months meditation experience.

 

Signed…………………………………………………………..Date………………………………..