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2010 Pre-Cana
Registration Form
(Please
print legibly—Your Certificate will reflect accordingly)
**Note: Confirmation of registration will be only
sent electronically . Please provide email address
Name of
Groom:____________________________________________________________________________________________
Name of Bride (Maiden):_____________________________________________________________________________________
Address Correspondence To:
_________________________________________________________________________________
Telephone:
Day_____________________________ Evening ________________________________
Email________________________________
Religion of
Bride:__________________________Groom:_______________________________Cost
- $70 per couple ($75 for 2011):
Wedding
Date:_________________________ Parish:________________________________________________________
2010
Dates: November 14 _____ 2011
Dates: Jan
9_____ Feb
20_____ Mar
13
_____
May
15_____ June 12_____ July 10 _____
ENCLOSED ___________ DISCOVER/MASTERCARD/VISA
(Circle One) Signature
____________________________________________________
______________________________________________________
______________________
NAME ON CARD
ACCOUNT NUMBER
EXP.
DATE
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