2019 Catholic Men's Conference Registration Form
If ordering tickets by mail, please use this form. Please print clearly
Full Name: ____________________________________________
City/Town: __________________State: __________ Zip: ________
Tel: ___________ Email: __________________________@___________
Parish: ___________________ in _____________________________
If ordering before or until 7:00 p.m. on Wednesday, March 20, at Midnight:
Please send me (#) _____ adult tickets @ $45 ea.
If ordering after 12:01 a.m. on Thursday, March 21:
Please send me (#) _____ adult tickets @ $60 ea.
Please send me (#) _____ student tickets @ $30 ea.
My check payable to 'Catholic Men's Conference' Total of $_________ is enclosed.
OR: Please charge (circle one) MC VISA AMEX DISCOVER
Credit card number ______________________
Name as on credit card: ____________________________
3-digit 'Security' number on rear of card: ______
(For Amex, 4-digit number on front of card) _______
Send to: Catholic Men's Conference, 49 Elm Street, Worcester, MA 01609
OR: You can order tickets online, through PayPal, at: www.firstmensconf.org