Vairotsana Foundation
P.O. Box 4361
Santa Barbara, CA  93140-4361

Complete the form below online and print out.
Then, mail to address given on form or email as an attachment to vairotsana@verizon.net.
Thank you for your generosity!

Last Name:
First Name:
Address:
City:
State:
Phone:
Email:

Four Levels of Friendship to choose from, please put an X by your choice:

Lotus Flower Friend ($15.00 per month)

Dharma Wheel Friend ($25.00 per month)

Endless Knot Friend ($50.00 per month, offers a 15% discount on teachings and
events)

Treasure Vase Friend ($100.00 or more per month, 20% discount on teachings
and events)