2018 Spring Retreat Registration
Email address *
Personal information
Spiritual Name
Your answer
Given Name *
Your answer
Given Name (person 2, if registering for more than 1 person)
Your answer
Spiritual Name (person 2)
telephone number *
Your answer
mailing address
Your answer
special needs (dietary or otherwise)
Your answer
transportation needs/arrivals/departures times
Your answer
housing descriptions
1. Dorm room: Two set of bunk beds in shared family room
2. Shared room: Private room with a) two single beds, b) queen bed with person on sleeping mat, or
c) shared, queen bed with a spouse
3. Private room
Lodging *
payment
Please enter the amount that corresponds to your retreat option and submit via paypal through the link below. DO NOT CHOOSE TO SEND $ IMMEDIATELY IF IT GIVES YOU THAT OPTION . IF YOU DO THIS IT TAKES ABOUT $12 OUT OF YOUR PAYMENT! Then return to this window and submit this form by clicking the blue button at the bottom of the form. Thank you!

paypal.me/AndandaSevaMission

You may also mail a check to~
Ananda Seva Mission
Joshua Nelson
3828 Raccoon Valley Road
Granville, Ohio 43023

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