DHARMAMIND BOOKING FORM

DHARMAMIND BOOKING FORM

^{Snowdonia Summer Retreat 2010

August 14}^{th / 21st}^{£350 / 340(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?

Deposit Booking by May 1st deadline

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

Snowdonia Summer Retreat 2010
DharmaMind Buddhist Group
33 Stoke Hill
Stoke Bishop
Bristol
BS9 1LQ

Payment by PayPal can be arranged on request.

Balance due not later than July 1^st 2010

Contact Katherine: 07787578057 E-mail: team@dharmamind.net

I have at least 6 months meditation experience.

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