Register by PayPal or  fill out and print the form below.  Registration deadline: July 20, 2012.
Enclose your check or money order made payable to: "Columbus Marian Conference"  
Mail to:  Nancy Tuttle, 887 Stephen Drive West, Columbus, Ohio 43204-1758
Questions/Information: call or email Nancy at (614) 351-9233 or GospaCalls@yahoo.com

Please note: there is a 4% fee added to tickets purchased through PayPal. 

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   NAME         __________________________________________

   ADDRESS    __________________________________________

   PHONE       __________________________________________

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ⓐ  Select Ticket Options:      

$50  Adult (includes all days of conference ) ...................... $50 x #___ = $______

$45  Senior (62+) .....................................................  $45 x #___ = $______

$15  Student ..........................................................   $15  x #___ = $______

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$90  Family ............................................................  $90 x 1           = $__75__

Please list the number of family members attending:  adults ____ children ____
(A family includes parents and dependent children living under the same roof)             

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Priest/Religious .......................................  Number attending: _____      (no charge)  

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ⓑ  Donation:   If you would like to make a donation to support the work of the conference, please enter the amount here:   $____________

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ⓒ  Total amount due  ...................................................   $__________

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      Tickets can be picked up at the conference at the pre-registration table.   Tickets are nonrefundable but are transferable.