Use the form below and register to join us for retreat and renewal in January! CLICK IMAGE OF FLYER TO ENLARGE IT, THEN USE BACK BUTTON TO RETURN

Individual Registration Form: Northern California Sufi Sesshin

Friday January 2nd to Sunday January 11th
The event will take place at the Institute of Noetic Sciences ( IONS web site ).


First Name:     Last Name:              Email:

Home Phone:            Mobile/other Phone:

Age:            Gender: Female            Male

Mailing Address:                 City:

       State (U.S.): ... or Province etc:

                Zip/Postal Code:     Country:

Emergency Contact Name:      Relationship:      Phone:

Accommodations and Program Fees

Single $1060 paid online, $1025 by check
Double $850 paid online, $825 by check
Non residential: $615 paid online, $595 by check
Part Time (per day)
             Shared room): $120 paid online, $115 by check
             Single room $170 online or $160 check
             Commuter $85 online or $80 check

After December 15th:
  • Please add $100 for full time participation.
  • Part-time participants, ask the registrar for your specific fees.


Preferred roommate (if double room):




If interested in coming part-time, please note that you are requested to join with us from the beginning. Please use this space to let us know your departure date and your choice of accommodation:    
The registrar will be in touch with you.

Vegetarian
Vegan
No Wheat
No Dairy

Concerns, physical or emotional, about participating.
(Registrar will contact you).

Amount due: $

    Will pay by: Credit Card / PayPal     Mailing check

Questions or Comments (if any):

       


Questions: email Samia at samia@marinsufis.com or call 510-548-5010