Registration Form Rigpa BT
Registration form - new students
Email address *
Todays Date *
Personal Details
First name *
Your answer
Surname *
Your answer
Street address & Number *
Your answer
City *
Your answer
Country *
Your answer
Postcode *
Your answer
Phone/Mobile *
Your answer
Skype username
Your answer
I have good internet at home
Subscription Options and Fees
Subscription *
If you have selected Concession please indicate if you are a pensioner, student or other concession holder
Your answer
Benefactor Contributions:
Any funds received by benefactors will be used to offset the costs of those students in financial difficulty for subscriptions and/or be used to assist students to attend retreat
If you would like to be a benefactor please indicate how much of a donation you would like to contribute:
Your answer
Payment Methods
Please note that we would be grateful if you would choose to pay monthly or fortnightly through direct deposit rather than annually
Proposed Method of Payment *
I will pay using *
More details on how to make your payments are provided at the bottom of this form
Study and Practice
Are you participating in the All Encompassing Path (AEP)?
If you are not already following the AEP and wish to join please help us assess your eligibility by indicating whether you meet the following criteria:
Please provide a short statement of support for joining AEP
Your answer
How often would you meditate?
Your answer
How many Rigpa retreats have you attended?
Your answer
What (if any) courses have you completed with Rigpa?
Your answer
Please indicate any other Buddhist courses you have completed
Your answer
Privacy Statement & Obligations
Privacy Statement:
I understand that the information on this form may be shared within Rigpa in both Australia and internationally for the purposes of course administration, communication and support.

I authorize Bush Telegraph and Rigpa International to store this information electronically so that it can be communicated as necessary to other Rigpa team members. Rigpa Bush Telegraph maintains a Bush Telegraph data base which includes member’s details.

I understand that this information is kept confidentially and can be used only for sangha-related purposes, such as arranging sangha activities, providing care, support and enabling communication within Bush Telegraph.

I understand that member email addresses will be available to all Bush Telegraph members and I agree to use this information only for sangha-related purposes.

I understand that I may contact the Database Controller and request that my details be removed from the BT Contact List and that this will be carried out as soon as is reasonably practicable.

Other obligations

Study materials and teachings are provided as part of courses are not to be shared with anyone

All materials borrowed from BT are to be returned in good condition by the agreed date at the cost of the student

Please indicate that you agree with the privacy statement *
Payment Details
Direct Debit:

BSB: 082-057 A/C 45-601-8065
SWIFT CODE (for overseas payment): NAT AAU 3302 S

In the transaction please include your 'Name' and 'Subs'

Cheque or money order made out to:

Rigpa Fellowship Inc - Bush Telegraph

and mailed to:

Attn: Pauline Vipen
ROC Australia - Bush Telegraph
PO Box 3046
UKI NSW 2484

Paypal (overseas payments only):

Login to your Paypal account (or set one up) and arrange payment from your user account to the following Paypal account:

New Zealand subscription payments:

Please email our Finance Director at if you live in New Zealand and would like to organise monthly subscription payments. We will put you in touch with our New Zealand volunteers to make arrangements.

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