<%@LANGUAGE="VBScript"%> <% Session("Language") = "E" %> Flame - Registration

       2010 Flame Registration-Diocese of Montreal    

Name             Surname
Christian name(s)

  
 
Name to appear on name tag
Street Address
Street Address (cont.)
City
Postal Code/Prov   
E-mail Address
Phone Number
Church/Parish
Dietary or special needs

(Please specify here and/or
contact one of the FLAME Committee members identified in the brochure)

 I require Transportation                  I can transport passengers

 I will be at the opening dinner Fri Nov 6th at 5:30 PM      

Note --  All rooms are single accomodation.

Registration Fee  $50.00 Total Enclosed   $

To ensure participation in this weekend is available to all interested men, the weekend's expenses are covered primarily through a free-will offering approach. Please include a cheque for $50.00 with your advance registration. During the Sunday morning closing service, participants will be asked to help defray the costs of this event through a private free-will offering. Our total cost per participant is expected to be approximately $150.00 for accommodation, meals, snacks and materials. We invite each participant to contribute as he is able and feels led.

Please make Cheque/Money Order payable to
"DIOCESE of MONTREAL - FLAME"

REGISTRATION DEADLINE - OCT 1ST

Mail the completed form WITH your payment to:

Flame Weekend
4484 Rue Kingston, Pierrefonds
Montreal, QC, H9A 2T6