Beautiful Breath Meditation Retreat Registration Form

Beautiful Breath Meditation Retreat Registration

Date: January 24 - 27, 2019Location: St. Benedict's Retreat and Conference Centre, 225 Masters Ave, Winnipeg
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Emergency Contact
Emergency Contact Phone Number

Area CodePhone Number
Have you attended a silent meditation retreat before?*

YesNo
Comments or questions?
Registration Fee - $300
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I prefer to pay $300 by cash or cheque* no later than the start of the retreat$ FreeCAD

I will pay $300 by e-transfer to roberta.anderson1623@gmail.com$ FreeCAD

Total $0.00CAD
*Cheque payable to Roberta Anderson
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