Pathgate Institute of Buddhist Studies

Summer Retreat 2009

Booking Form

Please print this form from the browser and return to
Pathgate Institute, PO Box 1XE, Newcastle-Upon-Tyne, NE99 1XE, England.

Name:
Address:


Postcode:

Telephone Numbers (include all codes)

Home:
Work:
Mobile:

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Please tick the appropriate box below:

I would like to attend the following dates of the summer retreat with Lama Dondrup Dorje:

	Block 1	August 17 - 20
	Blocks 1&2	August 17 - 24
	All 3 blocks	August 17 - 28

Payment of the Retreat Fee
The full amount should be made payable to ‘Pathgate’ by Cheque or IMO in sterling currency and send to Pathgate Institute, PO Box 1XE, Newcastle-Upon-Tyne, NE99 1XE, England.

Refund Policy
Withdraw before the retreat starts - 50% refund of fees.
Withdraw after the retreat starts - No refund of fees.

Accommodation
I would like to stay in the following accommodation, for which payment will be made by the first day of the retreat:

Bekas Camping(tent not included)	Maria Apartments	Hotel Apollon
In a tent alone	Single Room	Single Room
Sharing a tent	Double Room	Double Room
	Room with 3 beds	Room with 3 beds

Payment of the accommodation will be the responsibility of the individual in Greece.

I would like to attend one/two/three* blocks of the retreat
and enclose a cheque for £
*(delete as appropriate)

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Date