Name: 7-Day Residential Retreat: The Establishments of Mindfulness
Start: 2022-11-11T15:00:00-05:00
End: 2022-11-18T12:00:00-05:00
Location: Mount Mary Retreat Centre

Form – DSP Registration

Dharma Study Program Application Form

For those who are serious about liberation -- “the heart's sure release” (as the Buddha called it) -- the importance of having a solid grounding in Dharma teachings cannot be overemphasized.

Everyone is welcome. Please see below to register. The course fee does not include cost of books required.

Please note that all questions with an asterisk must be completed for your form to be accepted. Carefully fill out the form and do not omit anything.

You will receive an e-mail acknowledging receipt of your application upon successful completion of this form.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Registration Fee*
Dharma Study Program Registration Fee
- Regular
- SIMT Supporter
When would you like to pay?*
- Now (with my credit card)
- By cheque
The following total will deducted from your credit card.
Please mail a cheque to:
Satipanna Insight Meditation
P.O. Box 68565
360A Bloor St. West
Toronto ON M5S 1X1
Total
$ 0.00 CAD
Credit Card

American Express
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Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Form – DSP Registration

Dharma Study Program Application Form

Upcoming Retreats

5-Day Residential Insight Meditation Retreat

7-Day Retreat with Ayya Medhanandi

7-Day Residential Retreat: The Establishments of Mindfulness

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