THE 13th VAJRAVIDYA MAINE RETREAT
with
VENERABLE KHENCHEN THRANGU RINPOCHE


2010 MAINE RETREAT REGISTRATION FORM (Please Print Clearly)

Name(s) _________________________________________________________________________________

Phone__________________________Email______________________________________________

Address___________________________________________________________________________

           ___________________________________________________________________________

 

AMOUNT ENCLOSED - Retreat fee: $100

We need scholarship donations:______

Total:_______ (sorry, we do not take credit cards)