Membership Application

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Couples Form

Having an active membership, committed through monthly pledges, provides a dependable income helping us maintain high standards, pay our bills, and improve our facilities. And, above all, it is your energy that provides the spirit and inspiration to keep the center flourishing. That is priceless!

Instructions:

1. Please provide the Primary Member information and your desired Couples Membership on this page.

2. On the following page select "Add Another Household Member"

3. Enter the Secondary Member information and confirm the Membership level on the resulting form.

4. Complete the Payment Information

First Name: Last Name:

Home Address: City: State: Zip Code: - Home Phone: Email:

Choose your Couples Membership below.

Membership:

Add an extra donation to your recurring membership fee :

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Vajrapani Institute is a meditation retreat center in California’s spectacular redwood forest in the Santa Cruz mountains.

We offer private meditation retreat cabins as well as Tibetan Buddhist courses and group retreats in the Gelug tradition, the same tradition as H.H. The Dalai Lama.

Vajrapani is affiliated with the Foundation for
the Preservation of the Mahayana Tradition
www.FPMT.org | www.FPMTBay.org

Contact Us: Phone: 1-800-531-4001 x1 Email: office@vajrapani.org

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