Online Registration Form for
An Interfaith Day of Prayer
Saturday, Nov. 24, 2001,  10AM - 4PM
at La Casa de Maria Retreat &
Conference Center,  801 Lader Lane
Santa Barbara, California, USA 93108
 

    * = required information

*Fee:

 

A limited number of partial scholarships are available to this and other gatherings at La Casa de Maria, depending on the availablility of scholarship funds.  To apply for a scholarship, click here.  To contribute to the scholarship fund, please enter in the following box the additional amount you wish to contribute:

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*First Name:

*Last Name:

*Address 1:

Address 2:

*City:

*State/Province:

*Zip/Postal Code:

*Country:

Home Phone

Work Phone

*Email:

*Credit Card:

*Credit Card No.:

*Expiration Date:

Credit card billing address, only if different from address above

Address 1:

Address 2:

City/State/Zip:

*Please complete starred fields where applicable.

 


Before clicking on the button below to submit
this form, please PRINT a copy of this page
as a temporary receipt.  La Casa de Maria
will mail you a confirmation letter.  Thank you.
 

  


Sponsored by
La Casa de Maria Retreat and Conference Centers - Ladera Campus
801 Ladera Lane  --  Santa Barbara, CA 93108  --  (805) 565-9062

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