Name *

First Name

Last Name

Phone *

Your phone number will be used only in cases where the insightmediationtucson@gmail.com address is being blocked and we need to contact you.

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Payment Options *

Please indicate whether you will be pay via PayPal or Check/Cash. Note, if using PayPal, you do not have to have a PayPal account, or you can use your own account if you prefer. You can bring payment to the first class, or mail to us at: Insight Meditation Tucson, P.O. Box 43994, Tucson AZ 85733.

PayPal

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How did you hear about us?

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