Membership form

Membership

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Email
Meditation instructor
If you have a meditation instructor let us know who it is, or who you would like it to be.
Volunteer Interests
I would like to pay monthly dues online.
If you choose Yes, you can pay dues online via a monthly subscription. This will happen automatically.
I would like to pay monthly
- $25.00
- $50.00
- $75.00
- Other (I would like to give a different amount)
Other (enter your amount here):
Total
$0.00
Additional information
Privacy*
- By using this form you agree with the storage and handling of your data by this website.

The Durham Shambhala Center is committed to transparency and to creating a safe, compassionate and inclusive environment for all members and program participants at our Center, as outlined in our Care and Conduct Policy. In March 2018, the leadership of Shambhala International announced new initiatives to address harm and misconduct. Click here to read about those initiatives.