JA2024-MadisonWI

SUFI RUHANIAT INTERNATIONAL

and Madison Sufis present:

JAMIAT AAM

Embracing Life - Unfolding the Path

April 25-28, 2024 in Madison, WI
with Pir Shabda Kahn, Amina Meyer, Murshid Allaudin Ottinger and Murshid Rahmat Moore

Sufi Teachings, Zikr and Dances of Universal Peace

Located at Holy Wisdom Monastery in Madison, WI

Residential retreat with offsite hotel accommodations

Name*

Sufi/First NameLast Name

Telephone*

Include area code

E-mail*

Best email to contact me

Address*

Street Address

Street Address - Continued

CityState / Province

Postal / Zip Code

Emergency Contact Name*

Specify someone who is NOT on retreat with you.

Emergency Contact Phone Number*

Emergency contact phone number

Retreat Costs

FULLTIME Attendance

Commuter or Hotel*

Parttime

One Day

Commuter or Hotel*

$225

$125

*Hotel cost is separate and additional to JA registration fee. Please contact Baymont Hotel 608-831-7711 ext 0, for our group's reserved and discounted accommodations. Mention "Madison Sufis"

Our reserved hotel rooms are $87 per night plus tax for private or shared up to four people per room. There is free shuttle service to and from the hotel ONSITE ROOMS ARE NO LONGER AVAILABLE

Registration*

$225$125

Offsite days or Other details for registrar

Preferred Roommate

For room sharing preference. May leave blank.

Medical or mobility considerations

Dietary Preference

Travel

I am flying in to attend the JAOther

Discount or Scholarship Awarded*

YesNo

Discount/Scholarship Award Amount

Enter amount as a positive number to reduce your registration fee. All discounts and scholarships require pre-approval. For sliding scale discount, contact Basir at madisonsufis@yahoo.com before completing your registration. For Sufi Youth Scholarships contact nextgensufis.org/scholarships

Payments - "JA2024" in payment memo*

SRI Payment Portal for Credit Card, Debit Card, Bank Account. Use for international payments with US CC.PayPal (Credit/Debit card or PayPal account). Pay to SRI at: waduda@ruhaniat.org (Easy pay box below)Mail check today. Sufi Ruhaniat International 1330 6th St. Boulder, CO 80302

Total payment Due*

Tuition is due in full by April 18, 2024.

PayPal Payment

USDJA2024

Registration Closes April 18th, 2024. Early registration and payment is recommended. Cancelation refunds are available until April 18th, less $75 non-refundable fee. No refunds after April 18th.

Each person attending registers separately. Please consider listing a preferred roommate.

Be sure to note JA2024 in your payment memo. Paying with the PayPal link in this registration form automatically notes JA2024 with your payment.

To submit your registration, click "Next" button below. You will receive an email confirmation of your registration immediately upon submission. Please contact Waduda at waduda@ruhaniat.org or Basir at madison basir@madisonsufis.com if you do not receive this email. Additional information and welcome letter will be sent at a later date.

Required Math Challenge. This security measure helps eliminate automated "bot" form submissions. Click NEXT to submit registration.