One Day Retreat Registration I would like to register* for the One Day Retreat on Sunday, 1 October 2023 with Geshe Wangchen from 10am - 4pm*Please fill out one form for each person who wishes to attend the retreat.This One Day Retreat will offer participants an opportunity to reflect and meditate on the Four Applications of Mindfulness.All levels welcome. Geshe-la has taught four Sundays on this topic and now through guided reflection and meditation students will have the opportunity to deepen their understanding. PLEASE NOTE: The lunch will be done vegetarian potluck style - please bring a dish to share for the lunch. Chai will be offered in the afternoon.Would you prefer to use a cushion or a chair during the retreat?* Cushion Chair Personal DetailsName* First Last Email* Phone* AddressWe need your address to send you a tax receipt for any donations. 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However if you are a current DCI Dharma Friend Monthly Contributor the cost is $20. If you are experiencing financial difficulties and are unable to pay the full facility fee, please contact our office directly regarding partial work exchange opportunities. These must be arranged well in advance. The lunch will be done vegetarian potluck style - please bring a dish to share for the lunch. Chai will be offered in the afternoon.One Day Retreat Facility Fee* Price: The lunch will be done vegetarian potluck style - please bring a dish to share for the lunch. Chai will be offered in the afternoon.One Day Retreat Facility Fee (for Dharma Friend Monthly Contributors)* Price: The lunch will be done vegetarian potluck style - please bring a dish to share for the lunch. Chai will be offered in the afternoon.Would you like to make an additional donation? (optional) Yes No We try to keep the facility fees low to enable as many as possible to benefit from our Dharma programs. However the actual costs of hosting a Teacher and staff to organize the retreat are much higher than the facility fees can cover. If you are able and happy to make an additional donation towards these costs it is most appreciated. Donations are eligible for tax rebates. Thank you.Donation Amount Any amount is most welcome. Please enter the amount you would like to donate in the box above. Donations are eligible for tax rebates as we are a Registered Charitable Trust.Total Amount $ 0.00 Payment OptionsPayment Method* Internet Banking Paypal (PayPal account OR Credit Card). (Please note Paypal take a percentage of each payment) Cash Total Amount to pay by Internet Banking $ 0.00 DCI Bank Account Details Name: Dorje Chang Institute Bank: ANZ Account Number: 06-0589-0167320-00 Please mark payment “Retreat Day” + "your name" What date will you pay by internet banking?* This will help us to confirm payment has been received.Payments via PayPalWhen you press ‘Submit’ below you will be taken to PayPal to process your payment using either a PayPal account or a credit card. To use a credit card press the ‘Pay using your debit or credit card’ link at the bottom of the page.What is the name of the Paypal Account OR name on the credit card you will use to pay with? This will help us to confirm we have received your payment.CashTotal Amount to pay by Cash / Cheque $ 0.00 When will you make payment by cash?* I will arrive early on the retreat day to pay the facility fee in cash I will pay the facility fee in cash before the retreat day (I will contact the office to arrange a time) Please Note:Vegetarian Potluck Lunch - please bring a dish to shareThank you.If you feel unwell on the day, please stay home.If you are sick, feeling unwell, are symptomatic or are living with someone who currently has Covid, please kindly do not attend this retreat. NOTE: If you need to cancel your attendance at this retreat day at the last minute due to not feeling well, we will happily send you the audio recordings of both the morning and afternoon retreat sessions.Mobile Phone PolicyAs this is a meditation retreat we ask you to please NOT bring your mobile phones with you. Or if you must bring, them please turn them OFF during the retreat. Thank you for helping to create a conducive retreat environment for everyone.CommentsPlease provide us with any additional information which may help us. Feel free to include any practical questions you may have.If you are already on our mailing list or wish to be added, please leave the box ticked. Join Our Mailing List If you are already on our mailing list or wish to be added, please leave the box ticked.After you hit the "Click to Register" button below, please check the following page for a confirmation message (or an error message – if more entries need filling in). Thank you.If the form is complete you will see a confirmation message saying “Thank you for registering for the Retreat Day. We will send you a confirmation email shortly.” This is followed by an automatic email that includes the details of your registration. This means we have received your sponsorship. IF you receive an error message, please fill in the missing information and hit "Click to Register" again. 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