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Coming Events:   

Blessings:   

Note:- * fields are mandatory
Adult-Name(Person-1) First Name * Last Name*
 
Adult-Name(Person-2) First Name Last Name
 
Youth-Name(Person -1 ) First Name Last Name
 
Youth-Name(Person -2) First Name Last Name
 
Home Address *
 
Street Name * Zip Code * City *
 
Phone No: Home * Cell Phone Work Phone
 
Email Address(s)
 
Place Employment Position
 
Area of Speciality
 
Emergency Contact : Name Relationship Telephone
 
REGISTRATION FEES
 
Adult $ 60.00 per person/ children age between 5 to 15=$30.00 per person/below 5- No charge
 
Registration Fees includes 3 days food (B/F, / Coffee/ Lunch/Dinner)
 
Fees enclosed: $ 60.00 x persons, $ 30.00 x persons, Total $
 
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ACCOMODATION: Accomodation will be provided in participating parishoners Homes and motels also provided.
For further details contact: Mr. Jose Palanthinkkal: 215 939 3084, Gracemol Dominic: 215 971 3319

RETREAT TIMINGS: Check in - Friday June - 22, at 9:00 AM, Check out- Sunday, June 24, at 2:00 PM
 
* Total seats: 1000 (First come First serve), (Register before seats are filledup)
* Baby- sitting is available on a limited basis.
* Essential Items: BIble, Rosary, Notebook, Pen
* Transportation will be provided for the people who arrive/ departure in the Philadelphia airport.
* You will receive registration confirmation by e-mail/mail
* Please return completed Registration forms with registration fees to "Queen Mary Ministry, 506 Parlin St., Philadelphia, PA - 19116, USA"
 
 
 
Make check payable to : Queen Mary Ministry USA
 
Make payable credit card: card # Expiration Date :
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