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

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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.
First name *
Family name *
Birth year *
Gender *
Required
When did you pay the reservation fee 30 euros on Nirodha's account? *
Date
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? *
Required
Where did you first hear about this retreat? *
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