Fee Payment

For Retreat Center course balance

If you'd like to find out the current amount due for your Retreat Center course, please email registration@dharma.org or call 978-355-4378 exts. 180, 185, or 175.

For Forest Refuge registration and balance

If you'd like to find out the current amount due for your Forest Refuge stay, please email fr@dharma.org or call 978-355-2063 ext. 10.

Retreat Selection

Your retreat
Amount you will pay today	$

Forest Refuge Personal Retreat Dates

Start Date
End Date

Retreatant Information

First Name
Last Name
Middle Initial
Email
Address
City
Country
State/Prov
Zip/Postal Code
Day Phone
Evening Phone
Cell Phone

Payment Information

Note: Address below must match what is on file with your credit card company or the transaction will be declined.

First Name
Last Name
Middle Initial
Email
Address
City
Country
State/Prov
Zip/Postal
Phone

Payment Method	Visa Mastercard
Credit Card #
CVV Code
Expiry Date

Additional Donation

I would like to contribute an additional amount to IMS.
$

Online Payment Service

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