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Day : 09-05-10 00:33
¢Æ  Templestay Registration Form
¢Æ Name : ±Ý°­
Serch : 37,436  
   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