Dharma Rain Zen Center - Three Robes Registration

Registration Form for Three Robes Retreat 2010

The registration deadline is Sunday, May 2. Registrations are confirmed on receipt of deposit. Clicking “Submit” below will take you to the payment page that will allow you to pay online.

I will attend the entire sesshin (total cost $240).

I will arrive on (date)
(please plan to arrive between 6:15-7:00pm)
I will leave (date and time)
Total number of overnights (cost @$40 per overnight)

Name:

E-mail address:

Postal address:

Phone:

Dietary restrictions

Physical challenges

Total cost for sesshin (@$40 per overnight):

I am paying $25 deposit.

I am prepaying the entire amount.

(Clicking the “Submit” button should take you to the PayPal payment form. If it doesn’t, please click here.)

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