Beginning Zen Course Registration Form
Please use this form to register for a place in the upcoming Beginning Zen Course with Susan Murphy Roshi. Then deposit your course fee into the bank account listed below.

Dates: 3-4 March 2018
Where: Buddhist Library, 90 Church Street Camperdown

Early bird (extended to February 24): $100 / $70 concession
OR After February 24: $130 / $100 concession

You place in the course is confirmed upon receipt of payment.

Name: Zen Open Circle
BSB: 062438
Account: 10094519
Reference: BZC18[Your name]

Full details about this event are available on our website.

Registration Details
Your name *
Your answer
Email Address *
Your answer
Telephone Contact
Your answer
Is this your first time attending a Zen Open Circle event? *
Which course fee will you be paying into our bank account? *
Cancellation policy: 1 month (or longer) prior = $20 admin fee. 2 weeks prior to the course 50% refund. 1 week prior to the course no refund possible.
Could you please briefly describe your experience and interest in meditation? *
Your answer
Where did you hear about this course? *
Your answer
What are you hoping to learn from attending this course? *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms