Registration Form				Rime Buddhist Center & Monastery 700 West Pennway Kansas City, MO 64108-2134
Instructions:		Please fill out this form, print, enclose fees, and mail to the address above. DO NOT send cash. Make checks payable to: Rime Buddhist Center Alternately, you may fax the Registration Form to: 816-471-7853 or drop it off in person at the Rime Center.
Name:
Address:
City:			State:		ZIP+4:
Phone: Day)			Evening)
Email:
	Course Title			Text Fee	Other Fees (if applicable)	Total Fees
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				Course Fee Total:
				Donation:
				Please include $5.00 per semester, per person
I would like information about...				Total Enclosed:
	General Mailing List (upcoming events)
	Classes on Meditation & Buddhism
	Helping with Fund Raising