Personal Information

First Name: *

Last Name: *

Phone:

Enter your contact phone in case we need to reach you

Country: * Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Brazzaville Congo Kinshasa Costa Rica Cote dIvoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe

Enter the country in which you are a resident

Age: *

What is your age?

Gender: Female Male

I need a VISA invitation letter

Accomodation Information

Arrival: *

Please let us know your expected date of arrival in clear way as day/month/year

Expected Arrival Time: *

Please let us know your expected time of arrival. (eg. 12:30pm)

Departure: *

Please let us know your expected date of departure in clear way as day/month/year

Expected Departure Time: *

Please let us know your expected time of arrival. (eg. 12:30pm)

Accomodation Type: Own Tent Dormitory Offsite Rent Caravan

Note: Please contact teahouse@dharmacity.patrulrinpoche.net if you would like dinner on the evening of the event, breakfast on the day after the event or in case you won't eat all meals. Before completing the rest of the form please read the Fee Information section at the top of this page.

Preferred Language: English French Polish Russian Japanese

Price Information

Date: 2015-12-24; view: 861