Catholic Women's Conference 2024 Registration Form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Parish* City or Town where Parish is located* If you're buying multiple tickets, please list the names of those you will be purchasing tickets for in the box below.Friday, June 7 Pre-Conference Offer:Please select one of the options in this dropdown menu:$75 Buffet Dinner, Talk with Father Justin Cinnante, Double occupancy in dormitory$100 Buffet Dinner, Talk with Father Justin Cinnante, Single occupancy in dormitory$40 Buffet Dinner and Talk with Father Justin Cinnante$20 Talk with Father Justin Cinnante onlyHow many tickets would you like to purchase for the Pre-Conference Offer?Please list the name of your roommate (if applicable) Saturday, June 8 - Catholic Women's Conference Registration Fee - $55.00 Quantity Price: $55.00 Quantity Women Religious - No charge Quantity Price: $0.00 Quantity Sponsorship OptionsPlease select one of the following options:Daisy: $100 (Recognition in the program and 1 seat.)Tulip: $250 (Recognition in the program and 2 tickets.)Lily: $500 (Recognition in the program and 4 reserved seats.)Rose: $1,000 (Recognition in the program and 6 reserved seats.)Student Tickets (under 22 years of age) - $20 Quantity Price: $20.00 Quantity Good Samaritan Ticket - $55.00 (I would like to purchase a ticket for a woman who can't afford to attend but would like her faith refreshed.) Quantity Price: $55.00 Quantity DonatePlease select a giving amount below:$25 Donation$50 Donation$100 Donation$250 DonationDo you have any dietary restrictions? Yes No Please note: When you reach the payment page, you will have the option of paying with a PayPal account or a debit/credit card.Catholic Women's Conference Total $0.00 Δ
