Diocese of Massachusetts

BASIC TRAINING FOR EUCHARISTIC VISITOR
Registration Form

Please register me for the  following:

Course # 031310-0034-86

Date: Saturday March 13, 2010

Time: 9:00 AM to 4:00 PM
St. James's Church, 120 Main Street, Amesbury

Registration Deadline: March 6, 2010

Title   Please select one of the following Ms. Mrs. Mr. Dr. The Rev. The Rev. Dr.  

First Name

Last Name

Street Address 1

Street Address 2

City

State ZIP

Home Phone

E-mail Address  

          

Home Parish (Name)

                         Town 

 

Student Tuition $40
Clergy Tuition $25

Complete and print this form.

Make check payable to: Diocese of Massachusetts - EVT

Send to: Connie Melahoures, 15 Fremont Street, Plymouth, MA 02360-3323