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1 Welcome

Please fill out your details and press Continue.

First Name / + Order name if ordained *

Last Name *

Email *

Save my progress and send me an email reminder

2 Price

Please enter the total amount you are paying

Sorry, but this program only has 0 spaces available. You cannot add more people. Try a different program or different dates.

	Postage & Packaging
	£ Please enter an amount *

3 People in your group

Guest 1		First Name / + Order name if ordained* Last Name* Email*
Guest 1		First Name / + Order name if ordained* Last Name* Email*

4 Your Information

Mobile Phone / Phone *	Please provide a mobile phone number if possible
Address line 1 *
Address line 2	Optional Secondary line of address
Town / City *
County *	e.g East Sussex, Kent etc
Postcode / ZIP *
Country *

5 Donate to our bursary fund

Give the Gift of a Retreat Help others who can’t afford to come on retreat. If you can, please make a donation to our bursary fund. Donations go directly to helping people attend retreats at Rivendell.

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6 Security Check

Security check

7 Payment

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0

Due Now	$0 $0

Choose Payment Option

	Important: please quote the name you used to book the retreat as the reference for payment. Account name: Rivendell Buddhist Retreat Centre Sort code: 089299 Account no: 65425798 Your registration is only complete and confirmed once payment is received. Click on the button below and these instructions will be repeated on the next page.

	You will be asked for payment details in the next step. Click the button below to continue.