ESBVM-USA Congress Registration Form
First International Congress August 11 – 13, 2008, ESBVM – USA
Pittsburgh, Pennsylvania
Name: _________________________________________________________
Address: ________________________________________________________
________________________________________________________
________________________________________________________
[Please include street, town/city, zip or other codes, country]
Email address: (required if at all possible) ___________________________________________
Telephone number(s): _____________________________________________________
Enclosed $110 in U.S. Dollars for Congress Registration Fee: YES_______
$65 in U.S. Dollars for Consecrated Religious Sisters and Brothers: YES_________
$65 in U.S. Dollars for Seminarians & Students with valid I.D. card: YES_________
(no registration will be considered complete without payment of entire fee)
What is your religion / denomination? [optional] _________________________________________
Any health conditions we need to know about? ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Note There is some walking involved to the meeting areas from the
Holiday Inn, three
to four blocks. Please let us know if this will pose a difficulty so we can make
arrangements for you.
Mail this form with required registration fee to:
Bruce A. Lawrence, 11340 Evans Trail, #202, Beltsville, Maryland 20705-3021, USA.
Refer all registration questions to: LAWRENCE@pire.org
Make checks or International Drafts in U.S. dollars payable to:
ESBVM-First International Congress
