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St. Francis Event Registration System

September 8 - 10, 2010 Sabbath Time Retreat
Come away for a little while to a quiet place. A retreat for those who minister. Call the retreat center at 866 669-8321.

Title/First Name *

Last Name *

Nick Name

Parish *

Special Needs

Mailing Address *

City *

State *

Zip *

Day time Phone (e.g. 111-111-1111) *

Fax

Email

Cost

A non-refundable deposit of $25.00 is required at registration. Total cost is $121.00.

Qty. Cost
Sabbath Time September 8-10 Deposit
$ 25.00
Sabbath Time September 8-10 Total
$ 121.00

Fields Marked with an *asterisk are required.

Title/First Name	*
Last Name	*
Nick Name
Parish	*
Special Needs
Mailing Address	*
City	*
State	*
Zip	*
Day time Phone	(e.g. 111-111-1111) *
Fax
Email