Milarepa Initiation and Retreat
with
Kyabje Zopa Rinpoche

September 2-5, 2010
Registration Form

First	Last

Address

City	State/Province	Gender

Country	Postal /Zip Code

Home Phone	Cell Phone

eMail

NOTE: When paying via Paypal, please include a $3.00 service fee in your total.

Milarepa Initiation Registration Fee:	Initiation only Members - $40	Initiation only Non-Members - $50	Retreat Amount $ Sliding Scale $250-500

Accommodations:

Camping:

Dorm:

9/2

9/3

9/4

9/5

I plan to take the initiation and will need a Six Session Guru Yoga booklet to keep my daily commitment.

Please indicate any physical disabilities or special needs you may have so we can better assist you.

Any special dietary restrictions?

How did you hear about this program?

Important Information

Payment in full is due at the time of registration. Dorm housing is on a first-come, first-served basis. If housing is filled, limited camping is available or please see local accommodation listings in the registration information.

Donations Welcome

Giving charity is an essential component of Buddhist practice. It is through kind generosity that the Dharma flourishes and all favorable conditions can take root. We greatly appreciate your support.

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Milarepa Initiation and Retreat withKyabje Zopa Rinpoche

September 2-5, 2010 Registration Form

Important Information

Donations Welcome

Milarepa Center News

Milarepa Initiation and Retreat
with
Kyabje Zopa Rinpoche

September 2-5, 2010
Registration Form