Registration Form for Flexible Date Meditation Retreat
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Email *
Information
Information
Schedule for Flexible Date Retreat
Accommodation
More information
Please contact +66-82-141-1400 WhatsApps +66821411400, +66957872868
Date you plan to join the flexible retreat *
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DD
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Time of arrival *
Time
:
Date you plan to leave *
MM
/
DD
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YYYY
Time of leaving *
Time
:
Name and Last Name *
Nationality *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Phone Number (The format consist of Country Code - Area or Mobile Code - Phone Number. If your phone number is +1 505-644-9442, please put 15056449442 as formatted.) *
WhatsApp or Messenger contact
Career *
If you plan to stay one day or overnight, please inform us your food restriction
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If you plan to stay overnight to practice meditation with us, please choose rooms
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Have you ever meditate before?
 *
Meditation experiences
If you check (YES) Please describe it here.
What kind of session do you prefer?
How did you find out about the Flexible Date Meditation Retreat?
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A copy of your responses will be emailed to the address you provided.
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