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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:_______________________________________________
Wedding
Date:_________________________ Parish:________________________________________________________
2010 Dates: January 10_____ February 21 _____
March 14 _____ April 11 ____ May 16 _____ June
6_____ June 13_____ July 11 _____
July
25 _____ August 8_____ October 10 _____
Cost -
$70 per couple: ENCLOSED ___________ DISCOVER/MASTERCARD/VISA
(Circle One) Signature
____________________________________________________
______________________________________________________
______________________
NAME ON CARD
ACCOUNT NUMBER
EXP.
DATE
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