Application form: Nirodha's retreat 23.-28.1.2016
Please fill in all fields in English.

Write "no" if you don't have any comments. You can use the "TAB" key to move to the next field.

All personal information submitted in this form is strictly confidential and will be available only to the teacher and some of the organizers on a need to know basis. All related material will be destroyed after the retreat.
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First name *
Family name *
Birth year *
Gender *
When did you pay the reservation fee 30 euros on Nirodha's account? *
Email *
Please double check that your email address is correct!
Street address *
City *
Country (if not Finland)
Please note that because of limited resources, we are not able to help with visa applications in any way.
Phone *
Do you speak Finnish? *
Where did you first hear about this retreat? *
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