Vipassana Announcements

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Required Information for Change of Address

Change of Contact Information

Please fill out this form to update your email address and contact information to receive email announcements to your new address

First Name *

Middle Name (optional)

Last Name *

Email Address (old/previous) *

Pls provide previous email id here. Provide new email address in the next section further below so that we may update it.

Additional Information to Help Us Update Your Record

(Please provide your updated information here, as applicable, so that we may update our records)

Street Address (If Changed)

City (If Changed)

State (If Changed)

Zipcode (If Changed)

New email address (If Changed)

Phone Number (optional)

Vipassana Announcements, North Americas

California Vipassana Center | P.O. Box 1167 | North Fork, CA 93643

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