Vajraloka Buddhist Meditation Centre

To book on a retreat, please fill in this form and print it out (using the print this form button.)

Vajraloka Retreat Centre: Booking Form

Rate:	Full Rate Concessionary Rate
Name:
Gender:	Male Female
Email:
Telephone Number:
Address:
Do you have experience with the FWBO? Please tick appropriate box	Mitra Asked For Ordination Order Member None If not, please tell us here how long you have been meditating and if you are involved with another tradition
Special Dietary Requirements (for medical reasons only)
Additional Info: (accomodation etc)
How did you hear about us?
We may send you information about vajraloka and forthcoming events. If you do not wish to receive this, please tick here
Please tick here if you do NOT wish to receive confirmation of your booking by email

Now send this form, along with a (non-refundable) £50 deposit to: Retreat Bookings, Vajraloka, Corwen, Denbighshire, LL21 0EN. Cheques made payable to FWBO Corwen.