Pre-Registration Form for Bardor Tulku Rinpoche's Teaching

Pre-registration is requested for the Saturday and Sunday programs.

(Refuge or the intent to take refuge is required to attend the weekend teaching.)

Please mail this form, with your $20 nonrefundable pre-registration fee to:

KTC Jacksonville, 1258 McDuff Avenue South, Jacksonville, Florida 32205.

(* The pre-registration fee will be credited to your program total.)

I plan to attend:

___ Saturday and Sunday, including refuge & empowerments ($125.00)

___Current KTC Members*: Saturday and Sunday, including empowerments ($100.00)

I am able to attend One Day* Only:

___ Saturday only ($65.00)

___ Sunday only ($65.00)

For any or all of the following ceremonies, the fee is $25.00.

___ Refuge ceremony

___ Amitabha empowerment and transmission

 * Current KTC Members who wish a discount on one day only registration fee may contact the treasurer.

TOTAL ENCLOSED:_______________________

Your name_____________________________________________

Please send my confirmation to the following address (email or other):

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