Name___________________________________________________________________________
Address________________________________________________________________________
Phone__________________________________________________________________________
Email__________________________________________________________________________
Mail to:
Lama Tsongkhapa Center
P. O. Box 163
Galeseburg MI 49053
(be sure to include where we can reach you, in case registration is full)
Donation: Indicate amount enclosed
Members Donation $30.___________
Non-Members Donation $60.___________
Please make checks payable to Lama Tsongkhapa Center