D2D Course Registration Form

Course Name: Meditation IV

Course Date: 2/26/2017

Timings:  10:00 AM to 12:00 PM

Venue : 2585 El Camino Real Apt 208 Santa Clara, CA 95051

Please bring one big flower with the stem long enough to hold it comfortably with both hands.

Kindly complete the form below to register for this course.

First Name*

Last Name*

Date of birth (mm/dd/yyyy) *

Your Email*

Phone number*

Address*

Why you are interested in this course?*

What is your expectation from this course?*

Kindly list any existing medical conditions you have*

Do you need any special accommodation during the course?

Kindly list any past spiritual courses you have taken*

Any other D2D course(s) you might be interested in the future?*

Preferred Communication Method
 Phone Email Postal Mail

Please read and agree to our disclaimer in our disclaimer page.*

 Agree


 

The suggested donation for this course is $50 per person. Kindly let the instructor know, if you are unable to pay this amount for any reason. The instructor might assist you further in case of special situations.
Donate using the below link.

Please select the donation proceedings -




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