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MEDITATION RETREAT RESERVATION FORM |
I
would like to reserve a place for myself on a Dhammakaya Meditation Retreat --
and provide my personal details as follows:
Personal Name …………………............……
Family Name …………………Title………….................
Date of Birth ……………Address………………….....………… Postal Code……....… City ………........
Country…………………Phone Number………………….E-mail address …………………..………………..
Special dietary requirements (if any) ………………………………………….......
Select
Meditation Course
□ 27th July – 3rd August 2003 Ieper, Belgium
□ 3 rd – 10th August 2003 Ieper, Belgium
Select
your choice of travail to Ieper?
□ By car
□ By train until Ieper railway station
□ By train until Lille ( France ) railway station
□ Other…………………………………………………….
How did
you find out about this programme…………………….............................................
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What is your target?
………………….................................................................................
.................................................................................................................................
.................................................................................................................................
How long do you
meditate?.........................................................................................
What technique?.............................................................................................................
.................................................................................................................................
What experience do you have?......................................................................................
.................................................................................................................................
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CONTACT
Official Dhammakaya european centres
1)Dhammakaya International Meditation Center (Belgium)
+32-332 64 577 E-mail :
info@dhammakaya.be
2) Wat Buddha Strasbourg ( France )
+33-388 32 69 15 E-mail :
limefr@wanadoo.fr
3) Wat Buddha Augsburg ( Germany )
+49- 821 998 39 39 E-mail :
pnathi@yahoo.com
4) Wat Charoenbhavana London ( United Kingdom )
+44-208 764 82 65
E-mail :
dimcuk@hotmail.com
Meditation retreat place
Arsenaalstraat 23
8900 Ieper
contact Quirin - Mia Pinte
+32-57 21 32
57 E-mail :
quirin.pinte1@pandora.be
Representative
in Switzerland
Elsbeth Maurer
+41- 1
382 43 49 E-mail
elsbeth@goabundant.com,
info@kinderdeslichts.net
Coordinator
Pawithai Shaijarernwana ( Mor Pong )
+33-388-326915 E-mail :
pawithai@hotmail.com
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to program presentation page
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