REGISTRATION FEES: ( NUMBER / TOTAL COST )
$50 Adult (before 10/1, $65 after 10/1) __________ $_________
$95 Married Couple (before 10/1, $ 115 after 10/1) __________ $_________
$135 Family Rate - Parent(s) and child(ren)(before 10/1, $ 175 after 10/1) __________ $_________
$15 Youth - ages 6-17 (under 5 free) __________ $_________
$30 One Day only - Friday, Saturday, or Sunday (circle one) __________ $_________
$30 College Rate (show school ID) __________ $_________
FREE Priest or Religious __________ $_________
Donation to sponsor a priest or religious: $_________
TOTAL __________ $_________
My name is: __________________________________
Address ______________________________________
City/State/Zip _______________________________
Phone___________________________ Email_________________________
Names of all other attending in my party:
________________________________ _________________________________
________________________________ _________________________________
________________________________ _________________________________
________________________________ _________________________________
Credit card companies charge us transaction fees, so checks and money orders are preferred.
Visa or MC or Discover # ____________________________
Exp. Date: ____________
Signature: ______________________________
Please send registration forms and payment to:
Marian Conference XIX
Marian Center in Joy Valley
2680 Maxwell Road
Petoskey, MI 49770
Phone: 231-347-MARY (6279) or E-Mail: bryan@mariancenter.org