ECKANKAR UK: YOUTH SATSANG PROPOSAL

Please fill in the form as fully as possible (at least 6 weeks before the starting date) and click onto the Submit button.

Your proposal will be reviewed by the local and regional representatives and you will be contacted as soon as a decision has been agreed.

Name of Discourse:

Day of the month: (Enter frequency e.g. 3rd Sunday monthly / 2nd & 4th Tuesdays. See ECK Arahata book p.90 point 6)

Start time: (Hr) (Min)
End time: (Hr) (Min)

Class start date:

Class end date:

Please select the class type:

Venue Name:

Address Line 1:

Address Line 2:

Address Line 3:

Postcode:

Arahata Details:

Arahata Unique number (Your unique number)

Arahata Firstname

First Part of Postcode

Arahata Email Address (Confirmation will be emailed to this address but never stored on our system)
Re-enter your arahata Email Address
Do you agree to follow the current ECK Classes guidelines, unless an exception is approved by the Class Coordinator? (Yes or No)

What is your membership expiration date

Do we have your permission to share your information with potential class participants and to appear on the ECKANKAR UK website, Members Area?

My NameMy Phone

Will you have an assistant Arahata?

Assistant Arahata's Unique number:

Assistant Arahata's Forename :

What is assistant Arahata's membership expiration date? :

Do you need Tech Support?

Tech Support Unique ID:

Tech Support First Name:

What is Tech chela's membership expiration date: