Form - Atlanta Province Diocesan Catechetical Leaders Meeting

Atlanta Province Diocesan Catechetical Leaders Meeting

Annual Province Mtg - Hickory Catholic Conference Center

Diocese:*

Name:*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Overnight Accommodations

$ 110 (1 night stay, Jan 9)

$220 (2 night stay, Jan 8 & 9)

I am planning on attending but do not require overnight accommodations

I am unable to attend this year

Additional Requests (Dietary Needs / ETC.)

Total - Atlanta Province Diocesan Catechetical Leaders Meeting

Payment Options

Cash/Check

Credit Card

Please make checks payable to Office of Faith Formation, Diocese of Charlotte. 1123 S. Church St., Charlotte, NC 28203

Credit Card

Card Details

Cardholder Name

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