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Zen and Integrated Buddhist Studies (IBS)
Application for One Day Workshop
Student statuspick one!
Student numberfor current students only
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Nameyour full name
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Addressyour full address
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Home phone number
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Mobile phone number
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Workshop Date
Comments by Applicant
Commentsyour comments
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Declaration
Procedural checkpick one!
My fee of $100 will be paid the following way

Jikishoan Zen Buddhist Community

PO Box 475 Yarraville Victoria 3013 AUSTRALIA

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

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