Scholarship Application Form
______________________________
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
 

    *Please complete starred fields where applicable.

Fee:

  Scholarship rate: $35.00 (includes lunch)

 

 

*First Name:

*Last Name:

*Address 1:

Address 2:

*City:

*State/Province:

*Zip/Postal Code:

*Country:

Home Phone

Work Phone

*Email:

 

    I request a scholarship from La Casa de Maria to
    attend the Interfaith Day of Prayer for the following
    reasons:

 


Before clicking on the button below to submit
this form, please print a copy of this page
as a temporary record.  La Casa de Maria
will e-mail you a response.  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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