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Day : 09-05-10 00:33
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¢Æ
Templestay Registration Form
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¢Æ Name :
±Ý°
 Serch : 37,436
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09092012registration.docx (22.2K) [47] DATE : 2012-09-16 13:25:13 |
MIHWANGSA
Templestay Registration Form
SECTION 1 --TEMPLESTAY INFORMATION
Arrival Date:
Departure Date:
How many nights are you staying ? ____ nights
SECTION 2 -- PERSONAL DETAILS
Name:
Gender: Male __ Female __
Age:
Nationality:
Occupation:
Religion (Optional):
E-Mail:
Cell Phone:
SECTION 3 -- ACCOMMODATION
Listed below are the contributions per person per night, including meals.
Single Room with no bed, private bath : 80,000 Won: __
Shared Room with no bed, public bath : 50,000 Won: __
Liability waiver:
I agree to keep the Temple rules and regulations for the program
I take full responsibility and liability for my own health and safety including and accidents, during the participation.
I hereby certify that the above information is true to the best of my knowledge.
Signature: Date:
Please email completed form to Mihwangsa dalmaom@hanmail.net
MIHWANGSA
South Korea, Jeollanamdo, Haenam-goon, Songji-myoun, Mihwangsa-gil 164
Tel: (061) 533-3521
Fax: (061) 535-2706
Internet Fax: 0303-3130-3521
Email: dalmaom@hanmail.net
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