Home | About Us | Contact Us | Events | Spiritual Direction | Youth Retreats | Facilities & Grounds | Fundraising

Text Box: Pre-Cana Registration Form (Please print  legibly—Your Certificate will reflect accordingly)   Names: Groom: ______________________________________________   Bride:(Maiden) __________________________________________________     Address for Correspondence (Name/Address, City, State, Zip)__________________________________________________________________________     Email Address:     ___________________________________________________________________    Telephone: ______________________________                                Cost: $75 per couple:  CK # ___________ Enclosed                                            Wedding Date: _____________________________________________    - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -    Credit Card: MasterCard/Visa/Discover:         Acct #: __________________________________________________             Exp. Date: _______________    Name on Card: ____________________________________________                Signature: __________________________________________________        Address as appears on Credit Card (if different from above): ______________________________________________________________________________        Feb 20_______________ Mar 13_______________ Apr 3_______________ May 15 _______________ June 12 _______________ Jul 10 _______________ Aug 7 _______________ Sep 11 ____________ Oct 9 _______________   Text Box: 2011 Dates: Text Box: For more information, please call the Retreat House at 330-896-2315. Thank you!

 For best printing results, Please set your Printer Layout Orientation to Landscape instead of Portrait.

Back to "Pre-Cana Event"