Registration Form Confirmation letter will be sent with more information about Options, etc. Questions - 937-256-3600
Email: naprcoffice@ameritech.net
Please fill in the boxes, Print out, Mail to: NAPRC, 16 Lucerne Ave., Dayton, OH 45410
Name
Address City State Zip Code
Phone () -
Email Address
Parish
Diocese
Special Needs:
I do not want my name/email to be included on a list given to participants
2009 CONFERENCE FEES (Check applicable line) Note: If you are a NAPRC Member, deduct 10% from the fees listed below
FRIDAY NIGHT EXCURSION
$35.00 Friday night boat excursion
TRANSPORTATION ___ I will need transportation from Erie, PA Airport ___ I am driving on my own Driving on my own ___ I would like directions to Conference coming from __________________ Note: if you are staying at one of the above Motels, transportation will be provided once in the morning, and once at end of day.
($35 for boat and dinner)
*WORKSHOP Preferences CHECK PREFERENCES BELOW (this helps us schedule workshops – in terms of space, level of interest, etc.)
(check two)
Mail registration/payment to:
NAPRC 16 Lucerne Ave. Dayton, OH 45410 Email: naprcoffice@ameritech.net
Make checks out to: NAPRC
Questions?: Call Fr. Krumm (NAPRC Office) at 937-256-3600
or the local contact (Sr. Nancy Fischer) at 814-824-1217
***R e g i s t r a t i o n D e a d l i n e J u l y 1st***
Print out and Return this form to: NAPRC 16 Lucerne Ave. Dayton, OH 45410 Confirmation letter will be sent Make checks out to: NAPRC
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