Registration Form
What
Does It Mean to "Do
This?"
Supper—Mass—Eucharist
Loyola
University, Baltimore, MD
7 pm, June 11 through noon, June 13, 2011
Register online and pay by credit card at www.acteva.com/go/ccet or fill out the form below and mail with check to address at bottom. Prices are per person
_________ Program with Wednesday night banquet, without room - $210
_________ Program with Wednesday night banquet, retired clergy - $175
_________
Early bird registration (until March 31, 2011)
with Wednesday night banquet - $175
_________ Program with Wednesday night banquet, full-time students - $95
Rooms are available on the Loyola campus. Each room is part of a four-room suite, sharing two bathrooms, a common area, and kitchenette. Continental breakfast is included with the room.
_________ Single occupancy room - $125 for two nights
_________ Double occupancy room - $115 for two nights
My roommate’s name is _____________________________________
Room bookings must be received by June 1, 2011
+ + +
NAME ____________________________________________________________________
ADDRESS_________________________________________________________________
__________________________________________________________________________
EMAIL____________________________________________________________________
PHONE___________________________________________________________________
I enclose a check for $________________, payable to:
Center
for Catholic and Evangelical Theology
PO Box 11694
Washington, DC 20008
Persons
in need of special assistance should contact the Center
at
Michael.J.Root.73@alum.dartmouth.org