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Retreat Registration

Insight Meditation Retreat

Guy Armstrong and Sally Clough
Retreat March 20-28 2009
Redemptorist Retreat Centre, Vincent St, North Perth

Your registration will only be finalised once your deposit is received into the PIMG account.

Payments by bank deposit: Account name : Insight Meditation Retreat
BSB: 066 105 Account number: 1004 9865

Please complete the following information.

**Please fill in all fields

* Personal Information:
*First Name
*Surname
Name you wish
to be called
*Street Address
*Suburb
*State
*Postcode
*Gender
* Phone
Landline or Mobile
(please include
area code)
email address
 

only fill in your email address
if you check it at least once a week
Confirm email please
 
* Retreat Dates
*Full or Weekend retreat
Full – 20th to 28th March
Weekend – 20th to 22nd March (preference given to 8 full nights participants)
Weekend plus extra nights
* Dates Attending
Date Arriving
Date Leaving
Approx Time of Leaving
 
* Special Requirements
Dietary Requirements

NO special food requirements
I require dairy free food
I require wheat free food

 

NOTE on Special Dietary Requirements: We can cater for a small number of dietary requirements. A refrigerator is available for medicine and other personal special food items.

Any other relevant information you would like us to know?
(eg: medical or mobility needs)
 
Cost*
Preference will be given to full 8 nights option.
Minimum deposit of $100 required to register.
 
Choice 1: Full retreat 8 nights 20-28 March 2009
Choice 2: Weekend 20th to 22nd March 2009 (Preference will be given to full 8 nights option)
Choice 3: Weekend 20th to 22nd March 2009 plus extra nights
+ $65 per extra night =

**IMPORTANT Please read carefully the following withdrawal conditions:
Withdrawal from retreat within one month or earlier – full refund is given on Registration payment.
Withdrawal between 2 to 4 weeks prior – ½ refund is given, less $50 admin fee.
Withdrawal less than 2 weeks before hand – no refund is given.
Reasons of sickness, accident or family death will be given consideration.

Please assist us by making your full payment prior to January 23rd, 2009.


 
 
 
 

 

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