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YESHE KHORLO - USA ~ REGISTRATION FORM

VAJRAKILAYA DRUBCHEN & BHUTAN SACRED DANCE

SEPTEMBER 13 - 22, 2007 ~ Choying Dzong, Crestone, Colorado

 Name(s): _______________________________________________________________________
 
 Address: ________________________________________________________________________

 City: ________________________ State: ______________________ Zip code: _______________

 Phone no:_____________________________ Cell no: _________________________________

 E-mail: ______________________________________________________________________

 Registration Fee:
 Registration for the drubchen is $550 or $65/day.
 If registering before July 24, 2007, the fee is $500 or $56/day.

 Meal Plan: (optional & limited to 35 students. Priority will be given to students staying on the retreat land).
 To allow students the option of staying at the retreat center for the duration of the drubchen, lunch
 and dinner will be catered.  Continental breakfast items and snacks will also be available for students
 partaking in the meal plan. The cost is $26/person/day or $230 for the whole drubchen. Students can
 also choose to have two or three meals a day:  BF, L, & D ($26/day), BF & L ($15/day), or L & D
 ($22/day). Meals start with dinner on the first day, September 13, and end with lunch on the last day,
 September 22.
 All Meal Plan participants must register by August 20 and pay in full by August 29, 2007.

 Please read carefully & check all that apply:

 ____ I am a Supporting Member of Yeshe Khorlo and am current with my 2007 dues,
 therefore I have subtracted 20% from my registration fee.

 ____ I am sending in my registration form before July 24,
 therefore I have subtracted $50 from the course fee for my early registration.

 ____ I am enclosing with my registration a tax-deductible donation to the Scholarship Fund
 in the amount of $__________. (Thank you!)

 ____ I would like to register for a vegetarian / non-vegetarian (circle one) meal plan for the full 9-day
 drubchen or from ___________ to ___________ (enter dates of attendance).
 My preferred meal plan is: BF, L, & D ($26/day)  /  BF & L ($15/day)  /  L &D ($22/day) (please circle one)

 ____ I have read and understood the cancellation policy posted at www.yeshekhorlo.org/dances.html

 Please write down any dietary restrictions or special needs you have that we should know about:

 ___________________________________________________________________________________________

 ___________________________________________________________________________________________

 ___________________________________________________________________________________________

 ___________________________________________________________________________________________

 ___________________________________________________________________________________________


 ____ I have read and understand the cancellation policy for my registration.

 ____ I am planning to camp on the retreat land and will be arriving on _______________.

 ____ I would like my e-mail and address to be added to Yeshe Khorlo's mailing list.

 Total amount enclosed for Drubchen:           $______________
 Total amount enclosed for Meal plan:           $______________
 Total amount enclosed for Scholarship fund: $______________ THANK YOU!
 TOTAL AMOUNT ENCLOSED:                    $______________

 Method of Payment: (please circle one)
 Check   MC   Visa   Money Order   Cash

 If paying by Visa or Master Card:

 Card #:________________________________________________________________________

 Exp Date: _______________________ CCV2#(3-digit code on the back of your card): _______________

 Card Holder's Name & Billing Address (if different from above): ________________________________

  ________________________________________________________________________________

Please print and return both pages of this completed registration form, course fees, meal plan payment and any Scholarship donations to:
Yeshe Khorlo, P.O Box 87, Crestone, CO 81131

Checks may be made payable to Yeshe Khorlo

For questions unanswered by the information posted at www.yeshekhorlo.org,
please call Shauna Ianson at 719-256-5224 or email her at info@yeshekhorlo.org.


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