Register for October Revolutionary Dharma

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1 Suggested Pricing Options

Please choose the payment tier that is the best fit for you. Thank you!

FINANCIAL SUPPORT OPTIONS: If paying a particular tier is an obstacle, you can access immediate financial aid. Start by selecting a payment tier, and then please refer to the discount codes in the Payment Section below.

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	$45.00 – May All Being Benefit!
	$35.00 – The Middle Way
	$15.00 – Held in Sangha Loving-Kindness
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2 Please tell us about yourself

First Name *
Last Name *
Email *	IMPORTANT: If you have previously attended NDF events, please enter the same email address that you used for other registrations. For issues with this, please email register@naturaldharma.org.
Address *
Address 2
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State/Prov. *
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Phone No.
What pronouns do you use?
Program Participation Agreement and Release *	I agree to these terms and conditions. PLEASE use the View command on your computer to enlarge the type below so that you can easily read the agreement. Recordings by Natural Dharma Fellowship: At times NDF makes audio and video recordings of retreats for educational purposes or to promote participating in future programs. I hereby consent to being audio and video recorded during this online retreat, for example during Q&A sessions or any other time I am speaking online. I grant permission for these to be published or posted on Natural Dharma Fellowship’s websites. Social media postings and photos by other retreatants: NDF recognizes that a portion of its guests may wish to photograph, video, and audio record aspects of their program experience to post on various social media sites. In order to protect the privacy of others, NDF requires that all guests agree not to post or publish any images, video, or audio recordings of other individuals, or make use of the Natural Dharma Fellowship or Wonderwell name or logo, without express permission. I understand that I am solely responsible and potentially liable for any harm or damages caused by my online activity relating to Natural Dharma Fellowship or Wonderwell Mountain Refuge. Release of Liability: After being informed of the above risks and responsibilities, I generally release Wonderwell Mountain Refuge and Natural Dharma Fellowship, its teachers, instructors, agents and other representatives, from all claims, causes of action, medical expenses, and other costs related to my guest participation, whether online, or from my later use of information or instruction at home. I will abide by the terms of the Participation Agreement and Release because it makes me aware of NDF’s policies and creates a legally binding general release of liability.
How did you first learn about Dharma Dialogues: Revolutionary Dharma? *	Mindful Living Revolution Website or Newsletter Natural Dharma Fellowship Website or Newsletter Mindful Living Revolution Social Media (Instagram, YouTube) Natural Dharma Fellowship Social Media (Facebook, Instagram, YouTube) Attended an event with Deborah Eden Tull Attended an event with Lama Willa or other NDF teachers Referred by a friend Not sure / don't recall Other
Email newsletter	Please add my name to the Natural Dharma Fellowship e-newsletter distribution list

3 Donate to Wonderwell and receive a year-end tax receipt

Donate to the continued efforts of Natural Dharma Fellowship's ability to offer the Dharma, allowing all who wish to receive the teachings. You will receive a year-end tax receipt for your donation.

$	Natural Dharma Fellowship Unrestricted Donation We invite you to donate to Natural Dharma Fellowship. Your support helps us with ongoing operating expenses and allows NDF to offer our programs to all, regardless of financial resources.

4 Payment

FINANCIAL AID OPTIONS: Please enter the appropriate discount code in the field below. The discount percentage will be applied to the tier value selected: 20% off = FINAID20; 30% off = FINAID30; 50% off = FINAID50.

If your registration would depend on receiving in excess of the 50% discount of the lowest tier, please email register@naturaldharma.org for additional scholarship options before completing your registration.

All payments are processed and secured by Paypal Pro. We do not accept American Express cards.

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	Paying with credit card is Wonderwell's preferred payment method. However, if you need to pay with check, please know your check must be received within 7 days from submitting this registration, or the registration will be cancelled. Please put the name of the retreat on the memo line of your check. Payable to: Natural Dharma Fellowship PO Box 324 Springfield, NH 03284 Click on the button below and these instructions will be repeated on the next page.

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Register for October Revolutionary Dharma - Online

1 Suggested Pricing Options

2 Please tell us about yourself

3 Donate to Wonderwell and receive a year-end tax receipt

4 Payment