REGISTER FOR THE FOUR DAY RESIDENTIAL RETREAT

WITH DOUGLAS VEENHOF

Please fill in your personal information so that we can contact you with information about the retreat.

Space is limited. Your space is not reserved until payment is received. Below the form, you can choose one of two payment options:

  1. Pay with a credit card via PayPal. If paying via PayPal, please click the yellow "Pay Now" button at the bottom BEFORE hitting the "Submit" button. NOTE: If paying by credit card via PayPal, a charge of $8.60 will be added to the total.
  2. If you prefer, instead of paying by credit card, you can send a check within one week of registration. Please make out the check to "Wisdom's Heart" in the amount of $375 and send it to:

Veenhof Retreat
PO Box 44
Rockport MA 01966

If you have questions, please email veenhof_retreat@wisdomsheart.org


Name *
Name
Phone
Phone
Address *
Address
Your home address is required to verify payment
The food will be vegetarian. Let us know if you have any food allergies. Specify if it is life threatening or an intolerance
Rooms are shared with 1 or 2 others. Let us know if you have a roommate request. Please note silence is required much of the time.
You are expected to arrive by 5PM on Dec. 11 and stay through Lunch in Dec. 14. Please inform us if this is a hardship for you and if so how these times may differ. Note; this is not a drop in retreat but residential
Transportation
We do not provide transportation to the retreat site. Please let us know if you would be willing to drive others or if you hope to ride with others.
Please tell us if you have you had prior experience with the retreat leader, Douglas Veenhof or his meditation teacher, B. Alan Wallace.
Payment Method *
Your space is not reserved until payment is received. Are you planning to send a check, or pay via credit card by using the button below

PAYMENT

Your space is not reserved until payment is received.

To pay via Check, please make your check in the amount of $375.00,  payable to "Wisdom's Heart."  Mail the check to: P.O. Box 44, Rockport, MA 01966

Click the button to pay by credit card via PayPal.  **Note - there will be a $8.60 Paypal service charge added to the total.