Please consider becoming a member of
the Great Western Vehicle:
You can either print this form out and mail it to us at the address below, or you can email your membership to us at the URL below:
Your Name: First & Last: ______________________________
Your address: ________________________________________
Street: ________________________________________________
City: _________________________________________________
State/Province: _______________________________________
Country: ______________________________________________
Your phone #: _________________________________________
Your email address: ___________________________________
Please tell us something about yourself:
How long have you practiced meditation?_______________
How often? ___________________________________________
What tradition? _______________________________________
Have you sat any meditation retreats? _________________
If so what tadition? ___________________________________
___________________________________________________
