IBS 2018 - Jikishoan Zen Buddhist Community

Applications for Main Course B and Main Course C

Student statuspick one!

I am new to the IBSI am returning or continuing

Nameyour full name

Emaila valid email

Mobile phone number

Course B

Comments by Applicant

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Declaration

Procedural checkpick one!

I have read “Main Course Outline 2017”.I understand the vision for the Main Course program and am clear about my course selection.I need advice or clarification about my Course enrolment. Please contact me.I enclose the completed application form. I enclose the admission fee.or, alternatively, I will make a direct deposit.

My admission fee of $70 will be paid the following way

I will pay by cash in person at either Brunswick or Footscray.I will pay by cheque, made out to "Jikishoan Zen Buddhist Community", and will post to PO Box 196 Heidelberg West VIC 3081 AUSTRALIAI wish to pay by direct deposit. Please send me the bank transfer details.I am enrolled in a One Day Workshop and I am not required to pay the admission fee.

Jikishoan Zen Buddhist Community

PO Box 196 Heidelberg West VIC 3081 AUSTRALIA

Phone: 03 8307 0600 | email: contact@jikishoan.org.au

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