Cyber-Shedra

Registration Form

 

Name ____________________________________________________

Address __________________________________________________

City _____________________________________________________

State ___________________________ Zip ______________________

Phone ____________________________________________________

Email _____________________________________________________

I am registering for Cyber-Shedra Session 1 ( )

I am registering for Cyber-Shedra Session 2 ( ) You must have taken Cyber-Shedra Session 1 before registering for Cyber-Shedra Session 2

I am registering for Cyber-Shedra Session 3 ( ) You must have taken Cyber-Shedra Session 1 & 2 before registering for Cyber-Shedra Session 3

I am registering for Cyber-Shedra Session 4 (continuation of Perfect Conduct) ( ) You must have taken Cyber-Shedra Session 1, 2, & 3 before registering for Cyber-Shedra Session 4

I agree to pay $ ___________________ each month for the full 8 months of this Cyber-Shedra session.

I prefer to pay in full. I commit to $ ______________ per month for 8 months for a total of $______________

I would like to help sponsor Cyber-Shedra Distance Learning Program for $ ___________________.

Check Enclosed $ __________________ Please make payable to Namdroling. Note "CSDLP" on memo line.

PayPal Payment

Session

Session 1 Session 2 Session 3 Session 4

Commitment Form

I understand that the Cyber-Shedra Distance Learning Program involves a commitment both financial and temporal.

As a Cyber-Shedra student, I agree to make this commitment of study, practice, homework and tuition.

Signed ____________________________________________________

Date ______________________________________________________

Print Name _________________________________________________

Please sign and mail commitment form, registration, and fee by October 15, 2010, to Namdroling Cyber-Shedra, P. O. Box 11835, Bozeman, MT 59719

Cyber-Shedra Introduction Namdroling MT Home Page

www.namdrolingmt.org Email: cyshedra@namdrolingmt.org  Phone: 406-587-2907