Online Registration
for Thay's  and the Plum Village Sangha's Trip To Vietnam in 2008
Retreat and Conference on Engaged Buddhism for the 21st Century
May 4 - May 17, 2008, Ha Noi, Viet Nam

 

Required fields are marked with *

Personal  Information Today's  Date

First Name* Last Name*
Age Gender
Street Address*
City* State*
(enter N/A if not applicable)
Zip/Postal Code*  Country*
E-mail*
Phone* Fax
Emergency Contact Name* Emergency Phone *

Measurements for Ao Trang (Grey temple robe. You will be invited to wear the Áo Tràng when you accompany Thay.
 

 Already have one:

 Please specify your size
    - USA: small, medium, large, extra large
    - Europe and others:  36, 37, 38, 39 , 40, 41 ....

Travel Information:

Travel activities (Choose all that apply) 

Retreat and Conference  (May 4-May 17):  
 		 Optional One-day sight seeing trip to Avalokiteshvara caves (Chùa Hương) in Hà Tây  (May 17): 
 
Optional  sight seeing and field trip to Hue and Quang Tri (May 19 - May 21) :
 		  All activities (May 4 - May 21):
Travel Notes:
 

The retreat and conference will be given in English, with simultaneous translation into French, German, and Vietnamese.
Please choose the languages that you speak and listen fluently, besides your native language
 
Languages
spoken:		    
Please provide the information about your travel document and your travel plan so we can apply the VISA for you.
The VISA will be for one month, from May 1 to May 31, 2008, unless requested otherwise.		  
Country of Citizenship* Date of Birth*
dd-mmm-yyyy,  i.e. 12-MAR-1960		  
Passport number* Issuing *
agency		  
Passport issued date*
 
dd-mmm-yyyy,  i.e. 12-MAR-1960		 Passport Expiration Date*
 
dd-mmm-yyyy,  i.e. 12-MAR-1960		  
Occupation*      
Expected entry date* Expected departure date*  

Practice Information:
Please provide information related to the mindfulness practices. Enter NA if it is not applicable.

Mindfulness Trainings Received     Year received 
Dharma Name:
Last attended event with Thay/PV Sangha
Local Sangha

Please press the submit button only once. Otherwise, you will register more than once. You will be shown a confirmation page to indicate that your data has been sent.