You Shall Be My Witnesses ... Registration Form
Hebrew Catholics and the Mission of the Church

A Catholic Conference at the Renaissance St. Louis Airport Hotel, Oct 1-3 2010
 

Name _________________________________ Phone ____________________

Address _________________________________________________________

City / State _____________________________ Zip ______________________

Email ___________________________________________________________

Parish _________________________________ Diocese __________________

If registering more than one person, please list names on reverse side.

(#) _____ Adults @ $35 each ($40 each after 9/15) ............................ $ _______

(#) _____ Young adults (12-25) @ $15 each ($20 each after 9/15)      $ _______

(#) _____ Children (5-11) @ $5 each ................................................. $ _______

(#) _____ Family (same household) @ $80 ........................................ $ _______

(#) ___ Adults       (#) ___ Young adults       (#) ___ Children

(#) _____ Group of 8 or more @ $25 each ($30 each after 9/15) ....... $ _______

(#) _____ Total Registering                                     Total Enclosed   $ _______

+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +

(#) _____ Priests - no charge

I wish to concelebrate Mass:   __ Friday   __ Saturday   __ Sunday

I wish to hear confessions:      __ Friday   __ Saturday   __ Sunday

(#) _____ Deacons - no charge

I wish to assist at Mass:          __ Friday   __ Saturday   __ Sunday

(#) _____ Vowed Religious - no charge

+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +

To register, choose one of the following three options:

1. Call 314-535-4242, 314-423-1075, or fax 314-423-9975
    
2. Mail check or money order to:
   
   AHC Conference of St. Louis
   8015 Monroe Ave, St. Louis MO 63114-6317
    
3. Mail charge card info below to address above.
   
   _ Visa    __ Mastercard    __ Discover
   
   Name on card: __________________________________________
   
   Acct #: ________________________________________________
   
   Exp date: ______     CIN#: ______  (last 3 numbers on back of card)
   
   Signature: _____________________________________________

Registration fees are non-refundable.

Register by Sept. 15 2010 for early registration fee discounts

Go to Main AHC Conference Page
 

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