 WWME
APPLICATION FORM -
Priest
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| Last Name: |
_____________________________________________ |
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First Name: |
_____________________________________________ |
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Religious Order: |
_____________________________________________ |
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Diocese: |
_____________________________________________ |
| Address: |
_____________________________________________ |
| City: |
_____________________________________________ |
|
Province: |
____________________ |
|
Postal Code: |
____________________ |
|
Email address: Home Phone Number: |
_____________________________________________
( ________ ) __________________________________ |
|
Date of Ordination: (mm/dd/yy): |
_____________________________________________ |
| Weekend Desired: |
_____________________________________________ |
|
Who told you about
Worldwide Marriage Encounter? |
_____________________________________________ |
Other comments
or special needs, i.e. diet, disability, etc: |
_____________________________________________
_____________________________________________ |
|
Application fee $50.00 (CDN) - non refundable -
Please make cheque payable to:
Worldwide Marriage Encounter |