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Registration Form for Fertile Void

A Meditation Retreat for Women
EVENT DESCRIPTION:  http://www.niralis.com/fertilevoid

Name *
Name
Phone
Phone
Which retreat are you registering for? *
It is encouraged to attend both retreats to experience the depth of content and continuity of practice. However, if you cannot attend both, then you also have an option to choose one.
I understand that this series is being offered on a sliding scale based on ability to pay, and I agree to pay at the highest level I am able between $75 - $325 for each retreat: *
About Finances: This series is financed solely by your contributions. Sliding-scale prices allow us to keep programs affordable for those with limited financial means. Please pay at the highest level of the sliding scale that you can afford. This allows others who need to pay less, the opportunity to attend. Thank you for your generosity.