It’s Not History.  It’s Time for Renewal.

New England Voice of the Faithful Conference

Saturday, November 13, 2004

Worcester’s Centrum Centre

50 Foster Street   Worcester, MA  01608

Please fill out a separate registration form for EACH attendee, even if making multiple registrations.

Conference registration fee is $45 and includes box lunch.  Conference starts at 8:45AM and ends at 5PM.

Please, please consider making a donation to support the conference.

You may print out and complete this form and either enter your credit card information or just enclose a check payable to Voice of the Faithful – New England Conference and mail it to:

VOTF November 2004 Conference,    P.O. Box 423,    Newton Upper Falls, MA 02464.

(Please print all entries)   First Name: __________________________________________

Last Name: ___________________________________________

Email Address: ________________________________________

Address Line 1: ________________________________________

Address Line 2: ________________________________________

City: _________________________________________________

State: _______________________     ZIP Code: ______________

Phone: ________________________________________________

Voice of the Faithful Member?   Yes _____     No _____

Parish Name: __________________________________________

Diocese Name (City / State): ______________________________

Parish Voice Affiliate Name: ______________________________

If paying by credit card:        Card Type:   o Visa     o MasterCard     oAmerican Express

Card Number: __________________________

Expires __________  (MM/YY)

Name on credit card: __________________________________________

Registration Amount: ___________    Donation: ___________    Total Amount Paid: __________

If paying by check:     Check No. ____________

Registration Amount: ___________    Donation: ___________    Total Amount Paid: __________

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Presented by New England Voice of the Faithful Affiliates in cooperation with Voice of the Faithful, Inc.

Copyright © 2004 Voice of the Faithful, Inc., having tax exempt status under section 501(c)(3) of the IRC.

SEATING IS LIMITED.   REGISTER EARLY.                                           T# ________