registration
RODNEY SMITH
April 24–27, 2008
Please fill out the registration form below and mail with your check for $200.00 made out to Insight Meditation Houston. Please register early, registration not complete until receipt of check. This is important for the teacher’s transportation arrangements and meal planning. Refunds will be made only if we are notified at least a week before the retreat begins. Some scholarship help is available in cases of need.
If you have any questions, you may call Marilyn Jones at 713.528.3905; or e-mail Jane Elioseffl: jelioseff@comcast.net
Sponsored by Insight Meditation Houston
Name:
Address:
Phone:
email:
Meditation Experience:
Please check number of Vipassana retreats you have attended:
___1-5 ___6-10 ___11+
Name and phone number of emergency contact:
Please mail to: Jane Elioseff 5353 Institute, Houston, TX 77005. We will confirm your registration by email.
If you have any questions, you may call Marilyn Jones at 713-528-3905; or e-mail Jane Elioseff: jelioseff@comcast.net