D H A R M A M I N D B O O K I N G F O R M
DharmaMind Snowdonia Summer Retreat 2012
July 21st / 28th
£390 / £375 (SS)
Name: ..............................................................................................................................................................
Address: .........................................................................................................................................................
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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 the retreat? For example, do you take medication for a mental health condition?
Bank Transfer
Non-returnable / non-transferable £75 deposit through a bank transaction: Dharmamind Buddhist Group. Sort: 30-90-62 Acc. No: (0)0816568 - To confirm your booking you must e-mail Matthew to notify deposit transfer. Also, send this booking form either by e-mail or post to the address below.
Cheque
Please enclose a non-returnable / non-transferable £75 cheque made payable to ‘DharmaMind Buddhist Group’, and send along with this booking form to:-
Snowdonia Summer Retreat 2012
DharmaMind Buddhist Group
107 Parkland Drive
Leeds
West Yorks
LS6 4PT
Contact Matthew: 0113 2662678 e-mail: team@dharmamind.net
Payment by PayPal can be arranged on request.
I have at least 6 months meditation experience.
Signed…………………………………………………………..Date………………………………..