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 Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

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E-mail *
Phone Number *

Area Code Phone Number
Emergency Contact
Emergency Contact Phone Number

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

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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 Free

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

Total $ 0.00 CAD
*Cheque payable to Roberta Anderson
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