DHARMAMIND
BOOKING FORM
COTSWOLD
NEW YEAR RETREAT
£180
DEC.28th
/ JAN. 1st 2008
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 £50 cheque made
payable to Dharmamind Buddhist Group, and send along with the booking form
to:-
James Ferguson
Totterdown
Contact
James: Tel: 07867 767605 e-mail: jamesinnesferguson@hotmail.co.uk
Payment by PayPal can be arranged on request.
I
have at least 6 months meditation experience.
Signed
..Date
..