Gift Certificate Form

Gift Certificates

Open Dates

* These fields are required

1 Gift Certificate

	$100.00 to $5,000.00 – Gift Certificate
	$ Please enter an amount *

2 Gift Certificate

Guest 1		First Name* Last Name* Gender Email*
Guest 1		First Name* Last Name* Gender Email*

3 Registration Information

First Name *
Last Name *
Gender
Email *
Phone *
Address
Address 2
City
State/Prov.
Zip/Postal
Country
Email newsletter	Please send me the email newsletter
How did you hear about us? *	Other - = Faculty, Friends and Family and Residential volunteers. If group lead is internet or teacher then the second person is the same, internet or teacher.
Comments or Special Needs	Please share with us any information to help in planning for your stay.
Security check	Type the text shown:

4 Donate

Please consider rounding up or adding a donation to your registration. We are a volunteer-run 501(c)(3) non-profit organization and Dharma Center that emphasizes education, healing and spirituality. Donations are used for volunteer housing and meals or Yeshe De Book Preservation Project. Thank you!

$

5 Gift Certificate

Gift Certificates are non-refundable and expire 2 years from the date of purchase and may be used towards a RL Retreat Program, RL Online Program, Wellness Treatments, and/or Tips & Gratuities. Gift Certificates may not be redeemed for cash.

Sub Total	$0

Taxes	$0

50% Deposit	$0

Due Now	$0 $0

Choose Payment Option

	Your registration will be complete once we receive your payment. Click on the button below and these instructions will be repeated on the next page.

You will be redirected to PayPal to make your payment.