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Membership Application
First Name *
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Last Name *
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Age *
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Street *
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City *
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Zip *
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Home Phone
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Email *
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Which Center is your HOME center?
Have you completed the beginners Zen? *
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Do you have other meditation experience? If so, please describe *
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Do you have experience with Zen/Chan/Seon. If yes please describe. *
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Do you have any physical limitations that might make sitting in meditation especially difficult? If yes, please describe *
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Are the days and times of our public services convenient for your schedule? *
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Is their anything we can do to help you in your meditation practice going forward? *
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Monthly Donation *
Membership suggests taking some responsibility for the financial viability of the Zen Center. Therefore we ask members to commit to making a regular financial contribution. The amounts listed are those recommended.
Other Amount
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Payment Method *
Cash/Check payments are due within the first week of every month
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