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Catholic Diocese of Sale > Agencies > Centacare Gippsland > Pre-marriage Education > Registration Form
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REGISTRATION DETAILSMs...................................................... Mr ....................................................AGE............... AGE............... RELIGION....................................................... RELIGION...................................................... Preferred Name for Tag.................................. Preferred Name for tag................................... CONTACT ADDRESS.............................................................................. P/CODE...................... Tel No: 9am-5pm................................................. Mobile No........................................... ********************************************************************************* We wish to attend program number ........ on (date) .......................at................................... Date of Marriage.................................... Place of Marriage........................................... Celebrant...............................................................
Cheque/Money Order enclosed of $....................(please make payable to Centacare Gippsland) Please forward to: Centacare Gippsland, P.O. Box 834 Warragul. 3820 |
