Maharishi Purusha Capital | West Virginia, USA | Courses for Enlightenment Maharishi Mahesh Yogi Global Country of World Peace

Online Application Form

For TM Retreat – Residence Course

Deduct $50 from the course fee if this is your first residence course
within six months of learning the TM technique.

Fields with * are required

We need a recommendation from your local TM Teacher emailed to This email address is being protected from spambots. You need JavaScript enabled to view it.. If you have attended a course at the Purusha Capital in the last six months we do not need a recommendation.

Course Details

Course Dates * Our guidelines require that everyone begin
each course on the same date.
Course Fee * Upon acceptance of your application we will send the details on how to make the course payment.

Course Participant Information

Status *Meditator Street Address *
First Name *  
Middle Name City *
Last Name * State *
Home Phone * Zip code *

Mobile Phone

Country *

Work Phone

Age *
Email * Social Security # * (last four digits)
Emergency Contact Information
Name * Phone *
Relationship *    
TM Instruction Date *
TM Instruction Location *
TM Instructor *
Date and place of the last course you attended *
Are you in good health? * Please make a selection above.
Please describe your present state of health *
Do you have any special dietary or housing needs?We will provide wholesome vegetarian meals
Do you plan to drive or fly to the course? * Please make a selection above.

If driving, would you like to share
a ride with someone in your area?