Registration for Buddhist and Christian Meditation Retreat

Mail this registration form by June 21, 2013, with full fee or $100 deposit payable to PCSF, to:

Pacific Center for Spiritual Formation
Box 441
1819 Polk Street
San Francisco CA 94109


 

PROGRAM: Buddhist-Christian Meditation Retreat, July 21 - 26, 2013

NAME: _________________________________________ EMAIL: _______________________________

STREET ADDRESS: ____________________________________________________________________

CITY: ______________________________ STATE: _______ ZIP: _____________ 

TELEPHONE: Home _______________________  Cell ________________________

FEE or DEPOSIT ENCLOSED: $ __________    Scholarship donation: $ __________

HOUSING PREFERENCE (Circle one):      Single ($700)          Double ($600)