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Registration Form to Print and Mail
for Words of My Perfect Teacher
with Dzongsar Khyentse Rinpoche
San Francisco - April 28-30, 2000

   

Name(s):
_______________________________________________________
Address:
_______________________________________________________

_______________________________________________________
Tel:
_______________________________________________________
Fax:
_______________________________________________________
Email:
_______________________________________________________

Payment Enclosed:  
_______ tickets @ $175
($150 if pre-registered before March 31st) 		$_________
I enclose the following amount to sponsor a full/partial tuition scholarship for this teaching. $_________
Total amount enclosed $_________

   
   

Please mail this form and write check payable to:

Siddhartha's Intent - Western Door
2312 Pacific Avenue
San Francisco, California 94115
USA

Tel: (415) 675-0337 Fax: (415) 922-1333 Email: siwd_main@hotmail.com