Registration Form Dharma Inquiry - An Insight Meditation Retreat 26 Jan 2 Feb, 2019 at Sangsurya Retreat Centre – Section 1: Personal Details: Name: Gender: Age: Address: Post Code: Email: Phone: Mobile: Home: Contact person in case of emergency during the retreat: Name Relationship Phone contact Personal Requirements: ❑ ❑ ❑ Dietary Vegan - Gluten free - Dairy Free - ❑ ❑ Single Room Camping Please note that these are A limited number of tent and ❑ Accommodation Shared Room limited and are on a first van sites are available, on a come, first served basis. first come first served basis The cost of this event is: $750 shared accommodation, $850 single room (limited availability), $500 camping (limited available). We would appreciate full payment on application if possible. If this is a problem, you can make a $150 deposit to secure your place. Full payment is required two weeks prior to the retreat. There are two options for payment: Electronic Funds Transfer (EFT) to: Bananacoast Community Credit Union BSB Number: 533000 Account Name: Tallowwood Sangha. Account Number: 179921 (BCU members please use Credit External option) Please use plus your name as reference application and payment. ‘JANUARY’ Deposit cash or cheque to the Tallowwood account in any Bananacoast Credit Union branch, using account details as above. You can also do an inter-bank transfer, using the same details. Please note: Full payment is required 2 prior to retreat. Tallowwood Sangha can offer financial assistance for those under 25 and for those in financial difficulty.
Registration Form Dharma Inquiry - An Insight Meditation Retreat 26 Jan – 2 Feb, 2019 at Sangsurya Retreat Centre Section 1: Personal Details: Name: Gender: Age: Address: Post Code: Email: Phone: Mobile: Home: Contact person in case of emergency during the retreat: Name Relationship Phone contact Personal Requirements: Dietary Vegan - ❑ Gluten free - ❑ Dairy Free - ❑ Accommodation Shared Room ❑ Single Room ❑ Please note that these are limited and are on a first come, first served basis. Camping ❑ A limited number of tent and van sites are available, on a first come first served basis The cost of this event is: $750 shared accommodation, $850 single room (limited availability), $500 camping (limited available). We would appreciate full payment on application if possible. If this is a problem, you can make a $150 deposit to secure your place. Full payment is required two weeks prior to the retreat. There are two options for payment: Electronic Funds Transfer (EFT) to: Bananacoast Community Credit Union BSB Number: 533000 Account Name: Tallowwood Sangha. Account Number: 179921 (BCU members please use Credit External option) Please use ‘JANUARY’ plus your name as reference application and payment. Deposit cash or cheque to the Tallowwood account in any Bananacoast Credit Union branch, using account details as above. You can also do an inter-bank transfer, using the same details. Please note: Full payment is required 2 prior to retreat. Tallowwood Sangha can offer financial assistance for those under 25 and for those in financial difficulty.