REGISTRATION

2014-2015

Weekend/Day Programs

Program:          ___________________________________         Date:            _________________

Name __________________________________________________________

Address ________________________________________________________

City ________________________         State ____________      Zip __________________

Home phone ______________ Work phone ____________       E-mail _________________

Registration fee: ________        Amount enclosed: _________


Please check if necessary:

I am a vegetarian. ___________________________

I will be present at the Friday evening meal. _______ 

I will be present for the Sunday noon meal. ________


Arrival and departure times:  4:00 pm Friday to Sunday after the noon meal.

Deposit: $40/person (non-refundable)

Please make checks payable to: Sisters of the Presentation of Mary

Your cancelled check certifies your inscription for the retreat. Thank You!

For directions and pictures: Please visit our website http://www.presentationofmary-usa.org


Our Lady of Hope House of Prayer
400 Temple Road
New Ipswich, NH 03071

603-878-2346
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