Registration Form

(Seating is limited...please make your reservation early!)

A separate registration form is required for each person.

(get a printer-friendly version of the registration form here!)

The cost of the conference is $30.00 per person prior to September 30, and $35.00 per person after September 30. A delicious box lunch is included in the price of the ticket. If you require a vegetarian lunch, please so indicate by checking the box below.

[ ] Please reserve a vegetarian lunch in my name.

Please type or print legibily.

First & Last Name:

Address:

City, State, Zip:

Area Code and Phone Number:

E-Mail Address:

Parish (if applicable):

Make checks payable to St. Gertrude Church. Mail registration form and payment to:

St. Gertrude Church
Attn: Catholic Women's Conference
7630 Shawnee Run Road
Cincinnati, OH 45243