Application for IWB BMI

Date of application:
Name: 
Residential Address: 

Country: 
E-mail:
Telephone:
Cell phone or contact while in Canada if applicable:

Association or affiliation: Tell us a little…

I would describe myself as:

1)	Familiar with Integral Without Borders having attended an event or followed your activities on the web.
2)	Unfamiliar
3)	Familiar with Big Mind having seen a video or attended a workshop
4)	Unfamiliar
5)	Familiar with Integral Theory having read a Wilber book, attended an Integral Institute event or researched an associated topic (eg. I know what quadrants are)
6)	Unfamiliar
7)	Familiar with the Basic Moral Intuition
8)	Never heard of it but you sure made it sound interesting. 

This information helps us to understand how to pace the program to suit the participants who sign up. Thank you. 

Payment

I am including a full registration fee of $425

I am a member of IWB, II or Big Mind and am including a discounted payment of $350

I am asking for a sponsorship and here are some compelling reasons why I deserve it:

I want to pay for the event AND give you a donation because I love what you folks are doing and I recognize how hard it is to pull events of this nature off.  I want to make your lives easier and maybe help someone else get to the event. So here is my cheque for $426 or more. 

Make your cheque or money order payable to: 

One Sky- Canadian Institute of Sustainable Living
1635 Grandview Road
Gibsons, B.C.
VON 1V5
Please include in the memo line (IWB BMI) so that One Sky can keep their accounting records straight. 

Travel Details. I plan to arrive in Gibsons by:  

Bus arrival number and destination  (provide details)

Vancouver airline arrival time and flight number (provide details)

My own mysterious way (don’t worry about it I will get there by 1:00 P.M.)

I need a ferry pickup or dropoff: (provide details of which ferry you will be on)

I would like to coordinate transport with others if possible: (give us all the info yo can so we can give hook you up with others).

Send this form to mike@onesky.ca