Audio Digital Download of a Three Video Collection from the Intimate Dialogue Series

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1 Welcome

Guest 1		First Name* Last Name* Gender* Email*
Guest 1		First Name* Last Name* Gender* Email*

Preferred Name	Please note our system will automatically use your legal first name in communications, but we will make every effort to address you by your preferred name during a retreat
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Address 2
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More detail on how you heard about this retreat/event	If you'd like, please share more details about how you first learned about this program, such as the name of the publication or person you were referred by.
Retreat Cancellation Policy	Click here and READ OUR RETREAT CANCELLATION POLICY.
Additional Information	E.g. if you are a loud sleeper, name of person you would like to share a room with etc
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Financial Assistance	Click here to go to our Financial Assistance information page.
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Tara Mandala Participant's Code of Conduct & Ethics Agreement	Click here and READ OUR PARTICIPANT'S CODE OF CONDUCT AND ETHICS
Participant's Code of Conduct & Ethics *	I have reviewed and agree to Tara Mandala's Participant's Code of Conduct & Ethics

First Name
Last Name
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Card Expiration *	Month Year
Card Security Code	usually a 3 digit code on back of card

$	Support Tara Mandala Your generous contribution to our Annual Fund allows Tara Mandala Retreat Center to be a year-round center, a repository for wisdom literature, a center for translation, a beacon for the feminine in Buddhism, an active dharma center with weekly dharma study and practice that provides refuge for deep practice and transformation.
$	Give to Scholarship Fund Please consider donating to our scholarship fund, which allows those that need financial assistance to attend our programs. Scholarships are awarded at 25% to 75% of program costs depending on need and situation.