One Day Retreat (In-Person & Online)

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1 Welcome

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First Name *

Last Name *

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2 Donate

Donation-Based Retreat Registration

All of our offerings are donation-based and offered on a sliding scale.

Please contribute what you can — your gift supports the teachers and our center.

You are also welcome to enter "$0" if that is what you are able to offer. There is no need to apply for a scholarship.

Payment Plan Options

We offer a default monthly payment option:

🌱 Pay 20% up front, followed by 4 monthly payments

If you need a different payment arrangement (such as extending to 6 months), please don’t hesitate to email us . We’re happy to work with you.

(You can enable this option at the end of the form under the 'Payment' section and next to the 'Pay' drop-down button.)

Select a price option *

	$35.00 – One Day Retreat Cost
	Choose Your Contribution
	$ Please enter an amount *

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3 Participant Info

Are you joining in-person or online? *	In-Person Online
Could you bring your own lunch for the lunch break? *
How did you hear about this retreat?	I've been to Tallahassee Chan Center events and retreats before Online group Social Media From someone who attended an event here before From another Buddhist teacher
Do you practice meditation regularly? If so, how often?	Daily Weekly Irregularly Never Other
What meditation method do you use?	Counting breath Following breath Samatha and vipasanna Silent Illumination Huatou
Are there other meditation methods that you use?
Comments or Special Needs

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4 Contact Information

Your Home Address
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City
State/Prov.
Zip/Postal
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What is your emergency contact's phone number?
What is your emergency contact's name?
What is your emergency contact's phone number?
Would you be interested in volunteering for the center?	Yes No
Email newsletter *	Please add me to your email newsletter

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5 Extra Contribution

Offer a Little Extra to Help Us Grow

$	Contribute to the Center’s Ongoing Work

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6 Payment

Thank you for applying.
After donating, an acknowledgement email will be sent to you shortly. If you don’t see it within 10 minutes, please check your Spam or Promotions folder — sometimes it ends up there by mistake. If you have any questions, please feel free to reach out to us:
tallahassee.chan@gmail.com

If submitting a check, please make it out to:

Tallahassee Chan Center
1310 North Paul Russell Road
Tallahassee, FL 32301
Memo: Name of the program you're applying for

Discount code

Credit card fee	I agree to cover the costs of processing this registration by paying the credit card fees. 3.5% credit card transaction fee is included so 100% of your payment goes to the Tallahassee Chan Center. Thank you!
3.5% Credit card fee	$0

Sub Total	$0

Taxes	$0

20% Deposit	$0
	$0 next payment date * last payment amount will be $0

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	By submitting payment, you authorise Tallahassee Chan Center to send instructions to the financial institution that issued your card to take payments from your card account in accordance with the terms of Tallahassee Chan Center's agreement with you.