retreat registration
Please complete the registration form below to register for a retreat.
Name:
Phone Number:
Email address:
Select from the following:
Non-member, $135.00
Kwan Um School member, $120.00
Dharma Teacher / Teacher in Training (DT/DTT), $110.00
Saturday / no night, $50.00
Sunday / no night, $50.00
Payment Options
Bank Debit Online:
If you would like to debit your bank account directly for the fees, an email will be sent from Jean Barr which requests a specific amount of money. Recipients of the email should follow the instructions from Chase bank to set up the automated debit. There are a number of steps to the process.
Check:
Checks (made payable to Ten Directions Zen) should be sent to Jean Barr, 1042 Dartmouth Dr., Wheaton, IL 60189 by November 4, 2011.
Other:
Please give a brief explanation of intended method of payment and when this will occur.
Select from the following:
Bank Debit Online
Check
Other
Arrival Time:
FRI 6pm
SAT 8:30am
SUN 8:30am
Do you need transportation from the airport?
Yes
No
If you need transportation from the airport, please give us your schedule information:
Airport (O'Hare/Midway):
Date:
Airline:
Flight Number:
Scheduled Arrival Time:
