World Dharma – Mindful Intelligence Transformation Training Vancouver
Online Request To Attend – Application Form​ ​– July 23​, 2017
Please fill out all fields and we will confirm your space asap

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Full Name (First, Middle, Last)

Address

City

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Email

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Facebook page, if applicable:

How did you first hear about the Training?

Please explain in a sentence or two why you wish to attend the Training.

Do you have any special needs or concerns that we should be aware of?

If you have attended a previous training with Alan please list the last one.

Means of making your contribution? Pay Pal? Credit Card? Check? Other?

Sliding scale rate you wish to select: (please check your preference):
Benefactor: $995 CADSustaining: $595Mid: $450Base: $295You choose: (choose the contribution amount right for you)

 

Amount of contribution upon confirmation of your participation.
Benefactor: $995Sustaining: $595Mid: $450Base: $295You choose: (choose the contribution amount right for you)Deposit: $100

World Dharma Society (WDS) contributions are presented on a sliding scale
basis, and do not include compensation for the teachings.There will be an
opportunity to offer donations to the teachers and to the World Dharma
Society at the end of the Mindful Intelligence Transformation Training.

This type of offering, known as dana or open hearted generosity in the
Buddhist tradition from South Asia, is done freely, without expectation.

World Dharma Society (WDS) is a sister organization of the registered
US non-profit, Buddha Sasana Foundation USA/Canada (BSF) and
Burma Project USA/Canada based in New York.

I hereby certify that all of the information contained in this application is complete and accurate to the best of my knowledge. I understand that, if accepted, omissions or false statements on this application shall be considered sufficient cause for dismissal. I will not hold World Dharma, the Buddha Sasana Foundation, or the facility used for the MIT Training responsible for any liability.I am entering this agreement with clear mind.

I hereby certify that all of the information contained in this application is complete and accurate to the best of my knowledge. I understand that, if accepted, omissions or false statements on this application shall be considered sufficient cause for dismissal. I will not hold World Dharma, the Buddha Sasana Foundation, or the facility used for the MIT Training responsible for any liability.I am entering this agreement with clear mind.

Respectfully yours.
World Dharma Society (WDS)