Spirituality Center Registration ::: Daylesford Abbey

Spirituality Center Registration Form

Name:

_________________________________________________

Address:

City:

_________________________________________________

________________ State: __________ Zip: ___________

Financial concerns should not prevent you from attending a program. If you cannot meet the cost, please let us know and we will make adjustments. Fees are used to cover operating expenses of the Spirituality Center. If you are able to contribute more than the cost, your contribution will be used to help cover scholarships. Thank you.

Phone:

(h) _______________ (w) _______________

	Please make checks payable to:
	Spirituality Center Daylesford Abbey
	220 South Valley Road
	Paoli, PA 19301-1900

Programs:

____________________________________________

Deposit $ _______ Balance Due $ _________ Paid in Full $ ________