Returning Veterans Retreat – Los Angeles (RVeR – LA)
August 18 – 21st, 2006, with Claude Anshin Thomas
Zen Center Los Angeles, 923 South Normandie Ave., Los Angeles
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REGISTRATON FORM
Dear Friends: The RVeR LA is limited to 30 vets, on a first come basis. We encourage you to register as soon as possible. Registration forms may be emailed to: returningvetsretreat@yahoo.com (with online payment available through www.mehadifoundation.org. Be sure to mark your payment “RVER – LA” in the “comments” section of the PayPal form provided from the “Donate” link at the website.) Or you may mail your registration and payment to:
Veterans for Peace – L.A.
c/o Mehadi Foundation
516 North Griffith Park Drive
Burbank CA 91506
If you have any special medical or dietary needs, or any additional information you would like us to have before the retreat, please use the back of the this form, or email your remarks to: returningvetsretreat@yahoo.com. You will be asked to sign an insurance liability release form from Zen Center - LA upon arrival. Food at the retreat will be hearty vegetarian.
For additional questions or information, contact 310-455-2688 or 310-703-3964.
*A limited number of beds are available for those with special needs. We request all other retreat participants to bring sleeping bags and air mattress or pad, pillow, etc.
** Transportation will be provided from airport and train stations in LA area as needed. Please let us know asap if you will need to be picked up or have other transportation needs.
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Name:(first)__________________________(last)_______________________ Sex: __M__F
Address:_________________________________________________________
_________________________________________________________
City:______________________________State:______Zip:________________
Telephone (home):_________________(work):_____________________(cell):______________________
Email:____________________________________________________________
Registration and Retreat Fee: $250.00 Note: The organizers of the RVeR LA are committed to ensuring that all who need and want to join us are able to do so, regardless of their financial situation. Scholarships for registration fees as well as transportation are available. If financial concerns present a hardship for you, please contact Tonia at 310-703-3964.
Registration Fee: $250.00
Additional Donation:_____ (will go to registration and transportation scholarships)
Total: _______ I would like to pay by:
Credit card – Visa ___ MasterCard ___ Amex ____ Expiration Date: (mm/yy) _______
Card Number: ________________________________________________________________
Name as it appears on card:_____________________________________________________
Billing Address (if different from above): ________________________________________
______________________________________________________________________________
Check or Money Order, make checks payable to: Veterans for Peace – LA
c/o Mehadi Foundation (please be sure to write RVER-LA in the memo line of the check.)
Mail payment with this Registration Form to: Veterans for Peace – LA c/o Mehadi Foundation,
516 North Griffith Park Drive, Burbank CA 91506. Email: returningvetsretreat@yahoo.com
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