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Mahamudra Retreat 2019 Booking Form
With Ven. Robina Courtin
12 - 18 April 2019
Title *
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Name *
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Surname *
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Gender *
Address *
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Postcode *
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Email Address *
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Mobile / Contact Number *
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Do you have any dietary requirements or food allergies? *
[Please be as precise and mention if your diet is for medical or personal preference.]
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Do you have any health or medical conditions we should be aware of? *
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